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Minidoka Memorial Hospital
Emergency Care Clinic/Center in Rupert, Idaho
NPI 1134333495

Minidoka Memorial Hospital is a Emergency Care Clinic/Center based in Rupert, ID and is specialized in Emergency Care. Minidoka Memorial Hospital practices in Rupert, ID. The NPI Number for Minidoka Memorial Hospital is 1134333495 and holds a License No. 26 (Idaho).

The current practice location address for Minidoka Memorial Hospital is 1224 8Th St, Rupert, ID and can be reached out via phone at 208-436-0481 and via fax at 208-436-6038.

Location: 1224 8Th St, Rupert, ID, 83350-1527
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134333495
Provider Name
Minidoka Memorial Hospital
Credential
Provider Entity Type
Organization
Address
1224 8Th St, Rupert, ID, 83350-1527
Phone Number
208-436-0481
Fax Number
208-436-6038
Provider Enumeration Date
05/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
M0023361 05 ID
00010006547 01 ID BLUE SHIELD ER
8D418 01 ID BLUE CROSS ER
institution
Provider Business Practice Location Address Details
Address
1224 8Th St
City
Rupert
State
Idaho
Zip
83350-1527
Phone Number
208-436-0481
Fax Number
208-436-6038
person
Provider Business Mailing Address Details
Address
1224 8Th St
City
Rupert
State
Idaho
Zip
83350-1527
Phone Number
208-436-0481
Fax Number
208-436-6038
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Emergency Care
Taxonomy
261QE0002X
License No.
26 (Idaho)
Definition
Definition to come...
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