NPI age
20 years
Enumerated 2006-01-17
● Active Type 2 · Organization
Mountain River Birthing And Surgery Center Llc
Mountain River Birthing And Surgery Center Llc is 1 of 70 general acute care hospital organizations in Idaho.
Primary specialty
General Acute Care Hospital
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Erickson
Ceo
Last NPPES update
2019-12-16
Source: monthly bulk 2026-05
How this organization compares
Across 70 active general acute care hospital providers in Idaho.
NPI age
20 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-01Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
350 N Meridian St
Blackfoot, ID 832211625
Mailing address
350 N Meridian St
Blackfoot, ID 832211625
Authorized official
Jacob Erickson
Ceo
📞 2087853801
Specialties
-
General Acute Care Hospital PrimaryAn acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010147223 | BLUE SHIELD PROVIDER # |
| 01 (ID) | 04630 | BLUE CROSS PROVIDER # |
| 05 (ID) | 806958900 |
Other names on file (3)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Grove Creek Medical Center
-
Idaho Doctors Hospital
-
Idaho Doctors Hospital
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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