| NPI | 1053472845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JANOUSEK Office Manager 208-587-8401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital Critical Access |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |