Organization Name: | MINIDOKA MEMORIAL HOSPITAL |
NPI Number: | 1134333495 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS J MURPHY (ADMINISTRATOR) |
Mailing Address: | 1224 8th St Rupert |
State: | ID US |
Postal Code: | 833501527 |
Phone Number: | 2084360481 |
Fax Number: | 2084366038 |
NPI Enumeration Date: | 05/09/2007 |
NPI Last Update Date: | 12/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0002X |
License Number: | 26 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Emergency Care |
Taxonomy Definition: |