NPI age
20 years
Enumerated 2005-06-17
Across 55 active general acute care hospital providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010148578 | BLUE SHIELD |
| 05 (ID) | 002860700 | |
| 01 (ID) | 13Z311 | MEDICARE SWING BED |
| 01 (ID) | 8K594 | BLUE CROSS PROF NUMBER |
| 01 (ID) | 000010149755 | BLUE SHIELD PROF NUMBER |
| 01 (ID) | 00406 | BLUE CROSS |
| 01 (ID) | 807044000 | MEDICAID PROFESSIONAL FEE |
Single-site organization. Only one practice location on file.
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