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Minidoka Memorial Hospital
Critical Access Hospital in Rupert, Idaho
NPI 1679553531

Minidoka Memorial Hospital is a Critical Access Hospital based in Rupert, ID and is specialized in Critical Access. Minidoka Memorial Hospital practices in Rupert, ID. The NPI Number for Minidoka Memorial Hospital is 1679553531 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
1679553531
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
01/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
M0023360 05 ID
000010006548 01 ID BLUE SHIELD
00166 01 ID BLUE CROSS
1254303 01 CIGNA GOVERNMENT SERVICES
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
Hospital Units
Classification
Medicare Defined Swing Bed Unit
Speciality
-
Taxonomy
275N00000X
License No.
26 (Idaho)
Definition
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
person
Provider's Taxonomy Details 2
Type
Hospitals
Classification
General Acute Care Hospital
Speciality
Critical Access
Taxonomy
282NC0060X
License No.
26 (Idaho)
Definition
Definition to come.
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