Healthcare Provider Details

I. General information

NPI: 1689720435
Provider Name (Legal Business Name): CASCADE MEDICAL CENTER HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 LAKE CASCADE PKWY
CASCADE ID
83611-7702
US

IV. Provider business mailing address

PO BOX 1330
CASCADE ID
83611-1330
US

V. Phone/Fax

Practice location:
  • Phone: 208-382-4242
  • Fax: 208-382-3580
Mailing address:
  • Phone: 208-382-4242
  • Fax: 208-382-3580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: SARAH HASBROUCK
Title or Position: BUSINESS OFFICE MANAGER
Credential:
Phone: 208-408-5025