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1487272399
SHOSHONE MEDICAL CENTER
KELLOGG, ID
NPI
1487272399
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Entity Type
Organization
Authorized Contact
DONJA C ERDMAN
CFO
208-784-1221
Organization Subpart ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2020-07-07
Last Update Date
2021-04-27
Business Address
SHOSHONE MEDICAL CENTER
25 JACOBS GULCH RD
KELLOGG, ID 83837-2023
Phone number: 208-784-4612
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Mailing Address
SHOSHONE MEDICAL CENTER
25 JACOBS GULCH RD
KELLOGG, ID 83837-2023
Phone number: 208-784-1228
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