| NPI | 1710204433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT CHERNE CFO 208-249-0011 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC0050X Clinic/Center, Critical Access Hospital (Licence: AZ H4884) |
| Additional Taxonomies | 282NR1301X General Acute Care Hospital, Rural (Licence: AZ H4884) |
| 275N00000X Medicare Defined Swing Bed Unit (Licence: AZ H4884) | |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2012-12-13 |