institution
Shoshone Medical Center
Critical Access Hospital in Kellogg, Idaho
NPI 1043215437

Shoshone Medical Center is a Critical Access Hospital based in Kellogg, ID and is specialized in Critical Access. Shoshone Medical Center practices in Kellogg, ID. The NPI Number for Shoshone Medical Center is 1043215437 and holds a License No. 44 (Idaho).

The current practice location address for Shoshone Medical Center is 25 Jacobs Gulch Rd, Kellogg, ID and can be reached out via phone at 208-784-7017 and via fax at 208-786-1019.

Location: 25 Jacobs Gulch Rd, Kellogg, ID, 83837-2023
institution
Provider Profile Details
NPI Number
1043215437
Provider Name
Shoshone Medical Center
Credential
Provider Entity Type
Organization
Address
25 Jacobs Gulch Rd, Kellogg, ID, 83837-2023
Phone Number
208-784-7017
Fax Number
208-786-1019
Provider Enumeration Date
06/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
86405 01 ID BLUE CROSS OF IDAHO
3504605 01 MONTANA MEDICAID
002862700 05 ID
3016300 01 WASHINGTON MEDICAID
0082553 01 WASHINGTON L & I
411320 01 MONTANA MEDICAID
000010000167 01 ID REGENCE
002861700 05 ID
00513 01 ID BLUE CROSS OF IDAHO
10004 01 WASHINGTON L & I
7043250 01 WASHINGTON MEDICAID
002861800 05 ID
institution
Provider Business Practice Location Address Details
Address
25 Jacobs Gulch Rd
City
State
Zip
83837-2023
Phone Number
208-784-7017
Fax Number
208-786-1019
person
Provider Business Mailing Address Details
Address
25 Jacobs Gulch Rd
City
State
Zip
83837-2023
Phone Number
208-784-7017
Fax Number
208-786-1019
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
General Acute Care Hospital
Speciality
Critical Access
Taxonomy
License No.
44 (Idaho)
Definition
Definition to come.
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