Organization · Type 2 NPI
Minidoka Memorial Hospital
Critical Access Hospital · Rupert, ID
NPI number
1679553531
Active
Practice location
1224 8th St
Rupert, ID 83350-1527
Fax (208) 434-8675
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 26 (ID) |
| Critical Access Hospital Primary | 282NC0060X | 26 (ID) |
Critical Access Hospital: Definition to come.
22 other providers at this address
- Minidoka Memorial HospitalSkilled Nursing Facility Rupert, ID NPI 1023052040
- Minidoka Memorial HospitalEmergency Care Clinic/Center Rupert, ID NPI 1134333495
- Minidoka Memorial HospitalPharmacy Rupert, ID NPI 1942364070
- Minidoka Memorial Hospital AmbulanceLand Ambulance Rupert, ID NPI 1225202922
- Minidoka Memorial Hospital Crna GroupCertified Registered Nurse Anesthetist Rupert, ID NPI 1073787784
- Allison Roper Serr, FNP-CFamily Nurse Practitioner Rupert, ID NPI 1144933912
- Benjamin Guercio, CRNACertified Registered Nurse Anesthetist Rupert, ID NPI 1972763381
- Brandon Madsen, CRNACertified Registered Nurse Anesthetist Rupert, ID NPI 1265037741
- Charles Malcolm Clair Jr., MDFamily Medicine Physician Rupert, ID NPI 1003012204
- Davee Carpenter Mussmann, DPTPhysical Therapist Rupert, ID NPI 1144202938
- David Dale Wageman, DOEmergency Medicine Physician Rupert, ID NPI 1528108867
- David O. Ward, PharmDPharmacist Rupert, ID NPI 1851477863
About NPI 1679553531
Minidoka Memorial Hospital's National Provider Identifier is 1679553531, issued on Jan 18, 2006. The primary taxonomy on file is Critical Access Hospital (282NC0060X), and the practice location is in Rupert, ID. The record was last updated on Mar 26, 2025.