institution
Minidoka Memorial Hospital
Rural Health Clinic/Center in Rupert, Idaho
NPI 1043387426

Minidoka Memorial Hospital is a Rural Health Clinic/Center based in Rupert, ID and is specialized in Rural Health. Minidoka Memorial Hospital practices in Rupert, ID. The NPI Number for Minidoka Memorial Hospital is 1043387426 and holds a License No. MMCRHC (Idaho).

The current practice location address for Minidoka Memorial Hospital is 1308 8Th St, Rupert, ID and can be reached out via phone at 208-436-4322 and via fax at 208-436-1312.

Location: 1308 8Th St, Rupert, ID, 83350-1530
institution
Provider Profile Details
NPI Number
1043387426
Provider Name
Minidoka Memorial Hospital
Credential
Provider Entity Type
Organization
Address
1308 8Th St, Rupert, ID, 83350-1530
Phone Number
208-436-4322
Fax Number
208-436-1312
Provider Enumeration Date
11/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00001002451 01 ID BLUE SHIELD
74146 01 ID BLUE CROSS
M8073867 05 ID
institution
Provider Business Practice Location Address Details
Address
1308 8Th St
City
State
Zip
83350-1530
Phone Number
208-436-4322
Fax Number
208-436-1312
person
Provider Business Mailing Address Details
Address
1308 8Th St
City
State
Zip
83350-1530
Phone Number
208-436-4322
Fax Number
208-436-1312
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
MMCRHC (Idaho)
Definition
Definition to come...
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