institution
Elmore Medical Center Specialty Physician Group
Critical Access Hospital in Mountain Home, Idaho
NPI 1417122821

Elmore Medical Center Specialty Physician Group is a Critical Access Hospital based in Mountain Home, ID and is specialized in Critical Access. Elmore Medical Center Specialty Physician Group practices in Mountain Home, ID. The NPI Number for Elmore Medical Center Specialty Physician Group is 1417122821 and holds a License No. (Idaho).

The current practice location address for Elmore Medical Center Specialty Physician Group is 890 N 6Th E, Mountain Home, ID and can be reached out via phone at 208-587-8401 and via fax at 208-587-8406. You can also correspond with Elmore Medical Center Specialty Physician Group through the mailing address at PO BOX 1270, MOUNTAIN HOME, ID - 83647-1270 (mailing address contact number: 208-587-8401).

Location: 890 N 6Th E, Mountain Home, ID, 83647-1270
institution
Provider Profile Details
NPI Number
1417122821
Provider Name
Elmore Medical Center Specialty Physician Group
Credential
Provider Entity Type
Organization
Address
890 N 6Th E, Mountain Home, ID, 83647-1270
Phone Number
208-587-8401
Fax Number
208-587-8406
Provider Enumeration Date
04/25/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010149755 01 ID BLUE SHIELD PROF NUMBER
000014148578 01 ID BLUE SHIELD
002860700 05 ID
8K594 01 ID BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
890 N 6Th E
City
State
Zip
83647-2206
Phone Number
208-587-8401
Fax Number
208-587-8406
person
Provider Business Mailing Address Details
Address
890 N 6Th E
City
State
Zip
83647-2206
Phone Number
208-587-8401
Fax Number
208-587-8406
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
General Acute Care Hospital
Speciality
Critical Access
Taxonomy
License No.
()
Definition
Definition to come.
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