Organization Name: | SYRINGA GENERAL HOSPITAL DISTRICT CIF |
NPI Number: | 1225162019 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BETTY A WATSON (CHIEF FINANCIAL OFFICER) |
Mailing Address: | 607 W Main St Grangeville |
State: | ID US |
Postal Code: | 835301345 |
Phone Number: | 2089831700 |
Fax Number: | 2089838520 |
NPI Enumeration Date: | 03/15/2007 |
NPI Last Update Date: | 07/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |