| NPI | 1255449013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENNE J BONNER Business Office Manager 208-476-8008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital Critical Access |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2022-07-21 |