| NPI | 1073551396 |
|---|---|
| Doing Business As | CLEARWATER VALLEY HOSPITAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | LENNE J BONNER CFO 208-476-4555 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2014-05-08 |