| NPI | 1194787010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS JOHN PERIUS Physician Assistant 208-737-2112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: ID PA 258) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2020-08-22 |