| NPI | 1538351796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY WRIGHT Credentialing Specialist 208-239-2110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: ID RPA166) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2007-08-13 |