| NPI | 1427293521 |
|---|---|
| Doing Business As | COMPLEX CARE HOSPTIAL OF IDAHO |
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL CRONIN Vice President 469-241-2128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282E00000X (Licence: ID 69) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ID 69) |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2013-01-07 |