| NPI | 1386636355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN LANNIE CHECKETTS CFO 208-367-7347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital Critical Access |
| Additional Taxonomies | 275N00000X Medicare Defined Swing Bed Unit |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2025-06-16 |