Organization Name: | POWER COUNTY HOSPITAL DISTRICT |
NPI Number: | 1194844068 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANELLE REAVES (PATIENT ACCOUNTING SUPERVISOR) |
Mailing Address: | 510 Roosevelt St American Falls |
State: | ID US |
Postal Code: | 832111362 |
Phone Number: | 2082263200 |
Fax Number: | 2082263223 |
NPI Enumeration Date: | 03/29/2007 |
NPI Last Update Date: | 03/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 25 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |