| Organization Name: | CASCADE MEDICAL CENTER HOSPITAL DISTRICT |
| NPI Number: | 1689720435 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VIRGIL BOSS (CEO) |
| Mailing Address: | 402 Lake Cascade Pkwy Cascade |
| State: | ID US |
| Postal Code: | 836117702 |
| Phone Number: | 2083824242 |
| Fax Number: | 2083823580 |
| NPI Enumeration Date: | 01/26/2007 |
| NPI Last Update Date: | 06/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 34 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |