| NPI | 1336125533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY JACOBSON Administrator 208-847-4402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital Critical Access (Licence: ID 35) |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2020-08-22 |