NPI | 1548320435 |
---|---|
Entity Type | Organization |
Authorized Contact | LORI L MINIER CFO 208-245-5551 |
Organization Subpart ? | No |
Primary Taxonomy | 282NC0060X General Acute Care Hospital, Critical Access (Licence: ID 27) |
Additional Taxonomies | 207P00000X Emergency Medicine |
1223S0112X Dentist, Oral and Maxillofacial Surgery | |
207Q00000X Family Medicine | |
207X00000X Orthopaedic Surgery | |
2085R0202X Radiology, Diagnostic Radiology | |
208600000X Surgery | |
213ES0103X Podiatrist, Foot & Ankle Surgery | |
261QM1300X Clinic/Center, Multi-Specialty | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
367500000X Nurse Anesthetist, Certified Registered | |
Enumeration Date | 2006-12-11 |
Last Update Date | 2023-11-15 |