State Hospital South

  • Single-specialty group
  • Blackfoot, ID
  • Core specialty: Primary care
PAC ID6002878527Dmand IDNG-MGR-069957
Total HCPs
2
Physicians (MD/DO)
2
Parent org executives
32
Medicare Part B payments
$13,283
Sister groups
1
Address
700 E Alice St, Blackfoot, ID 83221-4925
Main phone
(208) 782-9938
Specialty areas
Primary care
Website and social

Parent organization

State of Idaho

Gov - state · Boise, Idaho

Find the right contacts among 32 executives and 2 HCPs

Professional emails, personal emails and mobile numbers for State Hospital South's buying committee, with a free Dmand AI account.

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State Hospital South is a primary care medical group in Blackfoot, Idaho

State Hospital South (State Of Idaho Department Of Health And Welfare) is part of State of Idaho.

Sources: Doctors and Clinicians National Downloadable File (CMS); Dmand AI Org Hierarchy Data; Dmand AI Affiliation Data; and NPPES NPI Registry (CMS)

Wilma Robertson is geographic information officer chief data officer for idaho of State of Idaho

Dmand AI tracks 32 executives and staff leaders at State of Idaho. Waterfall enrichment finds their professional emails, personal emails and mobile numbers.

Source: Dmand AI Executive Data

State Hospital South's Medicare PAC ID is 6002878527

Identifiers
Medicare PAC ID
6002878527
Dmand ID
NG-MGR-069957
Medicare enrollment
Enrolled (PAC ID on file)
Contact
Address
700 E Alice St, Blackfoot, ID 83221-4925
Main phone
(208) 782-9938
Executive emails and mobiles
Get contacts
Classification
Group type
Single-specialty
Core specialty
Primary care
Site structure
Single-site
Ownership model
Government
Leadership
Physician-led
Medicare Part B payments
$13,283
Legal name
State Of Idaho Department Of Health And Welfare

Sources: Doctors and Clinicians National Downloadable File (CMS); Dmand AI Org Hierarchy Data; Dmand AI Organization Profile Data; and Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data

State Hospital South is part of State of Idaho

Dmand AI places State Hospital South under State of Idaho, a gov - state.

  • State of IdahoGov - state
  • State Hospital SouthSingle-specialty medical group · Blackfoot, ID
  • 1 other medical group

1 other medical group is part of State of Idaho

Source: Dmand AI Org Hierarchy Data

Org hierarchy

Map State Hospital South's entire network

See how State Hospital South connects to State of Idaho: its parent organizations, sister groups and every site of care in between, with the HCPs and leaders at each one.

State Hospital South has 2 physicians among 2 HCPs

State Hospital South physicians by specialty

  1. Family medicine1
  2. Internal medicine1

Share of the group's 2 physicians.

State Hospital South physicians

View all 2 HCPs

Sources: Doctors and Clinicians National Downloadable File (CMS); Dmand AI Affiliation Data; and NPPES NPI Registry (CMS)

State Hospital South practices at one location in Blackfoot

State Hospital South practice locations

Sources: Doctors and Clinicians National Downloadable File (CMS); and Dmand AI Practice Data

Full footprint

See every site where State Hospital South HCPs practice

Open all 1 practice location with facility phones, patient visits and the HCPs at each site.

State Hospital South is a primary care group with 2 subspecialties

Primary care is State Hospital South's core specialty, with family medicine as its main practice type.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Dmand AI Affiliation Data

Dmand AI tracks 1 EHR vendor at State Hospital South

Vendor and product names for the practice are available with a free account.

EHR systems at State Hospital South
SiteEHR vendorProduct
PracticeAvailable with a free accountAvailable with a free account

Source: Dmand AI Technology Install Data

Primary care groups in Idaho similar in size to State Hospital South

These primary care groups have the closest number of HCPs to State Hospital South.

See all 262 primary care groups in Idaho

Sources: Dmand AI Affiliation Data; and Dmand AI Peer Benchmarks

Sources for State Hospital South data

Sources for the data on this page
Data on this pageSource
NPI, PAC ID and addressDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
Dmand ID, phone, website, LinkedIn and group profileDmand AI Org Hierarchy DataDmand AI Organization Profile Data
Medicare Part B paymentsMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
Parent organizations and sister groupsDmand AI Org Hierarchy Data
HCPs and physician specialtiesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Dmand AI Affiliation DataNPPES NPI Registry (CMS) (opens in a new tab)
Specialty areasDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Dmand AI Affiliation Data
Practice locations and hospitalsDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Dmand AI Practice Data
Executives and departmentsDmand AI Executive Data
EHR vendorsDmand AI Technology Install Data
Similar groupsDmand AI Affiliation DataDmand AI Peer Benchmarks

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about State Hospital South

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is State Hospital South's PAC ID?

State Hospital South's Medicare PAC ID is 6002878527, which means the group is enrolled in Medicare.

Where is State Hospital South located?

State Hospital South is at 700 E Alice St, Blackfoot, ID 83221-4925.

What is State Hospital South's phone number?

State Hospital South's main phone number is (208) 782-9938.

Who owns State Hospital South?

Dmand AI places State Hospital South under State of Idaho, a gov - state.

How many physicians does State Hospital South have?

Dmand AI links 2 physicians and 2 HCPs in all to State Hospital South.

What specialties does State Hospital South cover?

State Hospital South is a primary care group with 2 subspecialties. The largest physician specialties are family medicine (1) and internal medicine (1).

Who leads State Hospital South?

Leaders at State of Idaho include Wilma Robertson (Geographic Information Officer Chief Data Officer for Idaho), Mike Langrell (Chair) and Cornel Rasor (State Representative).

How much does State Hospital South receive from Medicare?

CMS data shows $13,283 in Medicare Part B payments to State Hospital South.

What other medical groups are part of State of Idaho?

State of Idaho has 1 other medical group in Dmand AI, including Central District Health.

Selling to primary care groups?

See State Hospital South from parent organization to every site of care

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