| Organization Name: | SALMON RIVER CLINIC HOSPITAL DISTRICT |
| NPI Number: | 1528125176 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMY MERCANTINI KLINGLER (ADMINISTRATOR) |
| Mailing Address: | 1 Niece Avenue Stanley |
| State: | ID US |
| Postal Code: | 832780129 |
| Phone Number: | 2087743565 |
| Fax Number: | 2087743424 |
| NPI Enumeration Date: | 01/02/2007 |
| NPI Last Update Date: | 11/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 5510 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |