Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Southern Idaho Diabetes Education Program

Primary Care Clinic/Center in Shoshone, ID · enumerated 2008 · authorized official Kathryn Pike, Sidep Coordinator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154572311

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Registry record

Entity type Organization (Type 2)

Legal business name Southern Idaho Diabetes Education Program

Parent organization Shoshone Family Medical Center

Practice address 108 Nw Rail St, Shoshone, ID, 83352

Phone (208) 944-4747

Fax (208) 886-2634

Enumeration date Oct 7, 2008

Last updated in NPPES Oct 7, 2008

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Kathryn Pike

Title Sidep Coordinator

Phone (208) 944-4747

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-10-07. Verify at npiregistry.cms.hhs.gov.

Where is Southern Idaho Diabetes Education Program located?

The practice location on file with NPPES is in Shoshone, ID.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-10-07.