Organization · Type 2 NPI

Florence Hospital, LLC

Critical Access Hospital · Eagle, ID

NPI number 1639406267 Active

Practice location

1300 E State St, Suite 102
Eagle, ID 83616-7059

Fax (520) 868-3329

Specialties and licenses

Taxonomy	Code	License
Critical Access Hospital Primary	282NC0060X	APPLIED FOR (AZ)

Critical Access Hospital: Definition to come.

NPI record

NPI: 1639406267
Entity type: Organization (Type 2)
Issued: Nov 3, 2009
Last updated: Nov 2, 2010
Status: Active
Subpart: Yes of Healthcare of Florence, LLC

Other names

<unavail>
Florence Community Healthcare · doing business as

Authorized official

Mr. Stephen R Huey
Chief Financial Officer
(520) 494-3237

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1639406267

Florence Hospital, LLC's National Provider Identifier is 1639406267, issued on Nov 3, 2009. The primary taxonomy on file is Critical Access Hospital (282NC0060X), and the practice location is in Eagle, ID. The record was last updated on Nov 2, 2010.