Idaho Doctors Hospital

LBN: Mountain River Birthing And Surgery Center Llc
Idaho Doctors Hospital is an health care organization with primary practice located at 350 N Meridian St , Blackfoot ID 83221-1625. The organization recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as the primary health care specialty. Mountain River Birthing And Surgery Center Llc can be contacted via phone (208) 782-0300, or through Erickson, Jacob via phone (208) 785-3801.

Contact Information

Primary practice address
350 N Meridian St Blackfoot ID 83221-1625
Phone: (208) 782-0300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Erickson, Jacob
Phone: (208) 785-3801

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X

Profile Details

NPI number 1851371959
LBN Legal business name Mountain River Birthing And Surgery Center Llc
DBA Doing business as Idaho Doctors Hospital
Authorized official Erickson, Jacob
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2006
Last updated Dec 16th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851371959 NPPES
Idaho Other 000010147223 BLUE SHIELD PROVIDER #
Idaho Other 04630 BLUE SHIELD PROVIDER #
Idaho MEDICAID 806958900 BLUE SHIELD PROVIDER #

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