Organization Name: | SYRINGA GENERAL HOSPITAL DISTRICT CIF |
NPI Number: | 1376832790 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BETTY WATSON (CFO) |
Mailing Address: | 607 W Main St Grangeville |
State: | ID US |
Postal Code: | 835301345 |
Phone Number: | 2089831700 |
Fax Number: | 2089832114 |
NPI Enumeration Date: | 04/06/2011 |
NPI Last Update Date: | 04/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | 18 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |