| Organization Name: | HOSPICE OF NORTH IDAHO INC |
| NPI Number: | 1245235878 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RENEE BRIGHT MILLER (DIRECTOR OF FINANCE) |
| Mailing Address: | 9493 N Government Way Hayden |
| State: | ID US |
| Postal Code: | 838359216 |
| Phone Number: | 2087727994 |
| Fax Number: | 2087725916 |
| NPI Enumeration Date: | 06/20/2005 |
| NPI Last Update Date: | 12/31/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |