Organization Name: | ST LUKES MAGIC VALLEY REGIONAL MEDICAL CENTER LTD |
NPI Number: | 1730511254 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES ANGLE (PRESIDENT / CEO) |
Mailing Address: | 709 N Lincoln Ave Jerome |
State: | ID US |
Postal Code: | 833381851 |
Phone Number: | 2083244301 |
Fax Number: | |
NPI Enumeration Date: | 08/07/2013 |
NPI Last Update Date: | 03/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 275N00000X |
License Number: | 08 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Hospital Units |
Taxonomy Classification: | Medicare Defined Swing Bed Unit |
Taxonomy Specialization: | |
Taxonomy Definition: | A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |