NPI | 1942308986 |
---|---|
Entity Type | Organization |
Authorized Contact | DARYL R SHURTLIFE Assist. Administrator 208-529-5285 |
Organization Subpart ? | No |
Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: ID 56) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2020-08-22 |