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OrganizationActive

South Park, Inc.

Case Management

RUSSELL MCCOY
NPI: 1003021676Pocatello, Idaho, 83204(208) 233-6833

About South Park, Inc.

South Park, Inc. is a healthcare organization providing Case Management services, registered under National Provider Identifier (NPI) number 1003021676. The authorized official for South Park, Inc. is RUSSELL MCCOY.

The organization is headquartered at 415 S ARTHUR AVE, Pocatello, Idaho 83204. The main office can be reached at (208) 233-6833. South Park, Inc. has been NPI-registered since 2007.

Locations & Contact

Primary Location

Address
415 S ARTHUR AVE
City
Pocatello
State
Idaho
ZIP
83204-3303
Phone
(208) 233-6833
Fax
(208) 233-6842
View on Google Maps

Authorized Official

Name
RUSSELL MCCOY

Mailing Address

Address
415 S ARTHUR AVE
City
POCATELLO
State
ID
ZIP
832043303

NPI Registration

Enumeration Date
Last Updated
Certification Date

Services & Taxonomy

Specialty & Classification

Primary Specialty
Case Management
Classification
Case Management
Taxonomy Code
251B00000X

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is South Park, Inc.'s NPI number?
South Park, Inc.'s National Provider Identifier (NPI) is 1003021676. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does South Park, Inc. specialize in?
South Park, Inc. specializes in Case Management.
Where is South Park, Inc. located?
South Park, Inc. practices at 415 S ARTHUR AVE, Pocatello, Idaho 83204. You can reach them by phone at (208) 233-6833.
Does South Park, Inc. accept Medicare?
Based on available data, South Park, Inc. is not currently enrolled in the Medicare program.
Does South Park, Inc. offer telehealth or virtual visits?
South Park, Inc. does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. South Park, Inc. holds NPI 1003021676, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.