Organization · Type 2 NPI

Brent Leavitt

Critical Access Hospital · Chubbuck, ID

NPI number 1851761464 Active

Practice location

4928 Pleasant View Dr
Chubbuck, ID 83202-1640

Specialties and licenses

TaxonomyCodeLicense
Critical Access Hospital Primary 282NC0060XNone listed

Critical Access Hospital: Definition to come.

Another provider at this address

About NPI 1851761464

Brent Leavitt's National Provider Identifier is 1851761464, issued on Sep 25, 2015. The primary taxonomy on file is Critical Access Hospital (282NC0060X), and the practice location is in Chubbuck, ID. The record was last updated on Sep 25, 2015.