NPI age
18 years
Enumerated 2007-06-22
Across 70 active general acute care hospital providers in Idaho.
20 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 002663100 | |
| 01 | 000010006677 | BLUE CROSS PRO-FEE |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 20 individual providers on file at this primary address.
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