Organization Name: | MINIDOKA MEMORIAL HOSPITAL |
NPI Number: | 1043387426 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS J MURPHY (ADMINISTRATOR) |
Mailing Address: | 1308 8th St Suite 1 Rupert |
State: | ID US |
Postal Code: | 833501530 |
Phone Number: | 2084364322 |
Fax Number: | 2084361312 |
NPI Enumeration Date: | 11/29/2006 |
NPI Last Update Date: | 01/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | MMCRHC |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |