| NPI | 1972673218 |
|---|---|
| Doing Business As | SHOSHONE FAMILY MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | KEITH E DAVIS Owner 208-886-2224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2012-03-08 |