| NPI | 1619195989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE BINGHAM Credentialing Specialists 208-847-4327 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital, Critical Access (Licence: ID 35) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2011-08-04 |