| Organization Name: | PANHANDLE HEALTH DISTRICT |
| NPI Number: | 1851511224 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BOCK JEANNIE (DISTRICT ADMINISTRATOR) |
| Mailing Address: | 8500 N Atlas Rd Hayden |
| State: | ID US |
| Postal Code: | 83835 |
| Phone Number: | 2084155100 |
| Fax Number: | 2084155101 |
| NPI Enumeration Date: | 04/27/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | ID NP 99 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |