Organization · Type 2 NPI
1958
Rural Acute Care Hospital · Pocatello, ID
NPI number
1013306307
Active
Practice location
730 E Clark St, #4657
Pocatello, ID 83205-5401
Mailing address
9344 National Blvd Apt 11
Los Angeles, CA 90034-2925
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rural Acute Care Hospital Primary | 282NR1301X | 728144 (CA) |
Rural Acute Care Hospital: Definition to come...
About NPI 1013306307
1958's National Provider Identifier is 1013306307, issued on Jan 9, 2015. The primary taxonomy on file is Rural Acute Care Hospital (282NR1301X), and the practice location is in Pocatello, ID. The record was last updated on Jan 9, 2015.