Main Office

1250 Hollipark Drive
Idaho Falls, ID 83401
(208) 522-0310

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Healthcare Facilities/Groups COVID-19 Vaccine Request

Please email the following information to: COVID19Vaccine@eiph.idaho.gov

• Facility Name
• Facility Type
• Total Staff #
• Total Staff wanting to be vaccinated #
• Address
• Contact person name
• Contact person phone number
• Contact person email