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 |