Organization Name: | ELMORE MEDICAL CENTER |
NPI Number: | 1053472845 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY JANOUSEK (OFFICE MANAGER) |
Mailing Address: | 895 N 6th E Mountain Home |
State: | ID US |
Postal Code: | 83647 |
Phone Number: | 2085878401 |
Fax Number: | 2085878406 |
NPI Enumeration Date: | 12/13/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |