NPI age
20 years
Enumerated 2006-05-22
Across 55 active general acute care hospital providers in Idaho.
18 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 002438100 | |
| 01 (ID) | 83642 | PRO FEE BLUE CROSS OF ID |
| 01 (ID) | 00299 | BLUE CROSS OF IDAHO |
| 01 (ID) | 000010006515 | REGENCE BLUE SHIELD OF ID |
Multi-provider organization. 18 individual providers on file at this primary address.
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