Organization Name: | CLEARWATER VALLEY HOSPITAL & CLINICS, INC |
NPI Number: | 1033153739 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LENNE J BONNER (CFO) |
Mailing Address: | 301 Cedar St Orofino |
State: | ID US |
Postal Code: | 835449029 |
Phone Number: | 2084764555 |
Fax Number: | 2084765385 |
NPI Enumeration Date: | 06/15/2006 |
NPI Last Update Date: | 07/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |