institution
1958
Rural Acute Care Hospital in Pocatello, Idaho
NPI 1013306307

1958 is a Rural Acute Care Hospital based in Los Angeles, ID and is specialized in Rural. 1958 practices in Pocatello, ID. The NPI Number for 1958 is 1013306307 and holds a License No. 728144 (Idaho).

The current practice location address for 1958 is 730 E Clark St, Pocatello, ID and can be reached out via phone at 619-838-4593. You can also correspond with 1958 through the mailing address at 9344 NATIONAL BLVD APT 11, LOS ANGELES, CA - 90034-2925 (mailing address contact number: 619-838-4593).

Location: 730 E Clark St, Pocatello, ID, 90034-2925
institution
Provider Profile Details
NPI Number
1013306307
Provider Name
1958
Credential
Provider Entity Type
Organization
Address
730 E Clark St, Pocatello, ID, 90034-2925
Phone Number
619-838-4593
Fax Number
Provider Enumeration Date
01/09/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
730 E Clark St
City
State
Zip
83205-5401
Phone Number
619-838-4593
Fax Number
person
Provider Business Mailing Address Details
Address
730 E Clark St
City
State
Zip
83205-5401
Phone Number
619-838-4593
Fax Number
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
General Acute Care Hospital
Speciality
Rural
Taxonomy
License No.
728144 (California)
Definition
Definition to come...
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