Organization Name: | SYRINGA GENERAL HOSPITAL DISTRICT CIF |
NPI Number: | 1417252719 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BETTY A WATSON (CFO) |
Mailing Address: | 607 West Main Street Grangeville |
State: | ID US |
Postal Code: | 83530 |
Phone Number: | 2089831700 |
Fax Number: | 2089832114 |
NPI Enumeration Date: | 01/18/2011 |
NPI Last Update Date: | 12/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 18 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ID |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |