| NPI | 1194908053 |
|---|---|
| Doing Business As | COMPLEX CARE HOSPITAL OF IDAHO |
| Entity Type | Organization |
| Authorized Contact | MICHAEL CRONIN Vice President Of Reimbursement 469-241-2128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2012-03-07 |