NPI | 1750323515 |
---|---|
Other Name | PORTNEUF MEDICAL PRACTICES |
Entity Type | Organization |
Authorized Contact | JOHNATHAN WILKER VP Finance & CFO 208-239-1020 |
Organization Subpart ? | No |
Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: ID H12) |
Enumeration Date | 2006-06-12 |
Last Update Date | 2008-06-03 |