| NPI | 1891732905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED RUCKS CFO 208-459-4641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 273R00000X Psychiatric Unit |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2025-05-16 |