Provider Demographics
NPI:1215177993
Name:NORTH CENTRAL DISTRICT HEALTH DEPARTMENT
Entity type:Organization
Organization Name:NORTH CENTRAL DISTRICT HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:M
Authorized Official - Last Name:MOEHRLE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:208-799-3100
Mailing Address - Street 1:215 10TH ST
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ID
Mailing Address - Zip Code:83501-1910
Mailing Address - Country:US
Mailing Address - Phone:208-799-3100
Mailing Address - Fax:208-799-0349
Practice Address - Street 1:215 10TH ST
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ID
Practice Address - Zip Code:83501-1910
Practice Address - Country:US
Practice Address - Phone:208-799-3100
Practice Address - Fax:208-799-0349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-20
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare