| 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 | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| 207P00000X Emergency Medicine | |
| 207Q00000X Family Medicine | |
| 207X00000X Orthopaedic Surgery | |
| 207XX0005X Orthopaedic Surgery Sports Medicine | |
| 2085R0202X Radiology Diagnostic Radiology | |
| 208600000X Surgery | |
| 208M00000X Hospitalist | |
| 213ES0103X Podiatrist Foot & Ankle Surgery | |
| 225100000X Physical Therapist | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2024-08-21 |