Healthcare Provider Details

I. General information

NPI: 1851836381
Provider Name (Legal Business Name): TANABELL HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2016
Last Update Date: 10/28/2022
Certification Date: 10/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1134 CHENEY DRIVE WEST
TWIN FALLS ID
83301
US

IV. Provider business mailing address

1134 CHENEY DRIVE WEST
TWIN FALLS ID
83301
US

V. Phone/Fax

Practice location:
  • Phone: 208-644-7100
  • Fax: 208-644-7221
Mailing address:
  • Phone: 208-644-7100
  • Fax: 208-644-7221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateID

VIII. Authorized Official

Name: JAMIE BELL
Title or Position: VP
Credential:
Phone: 208-252-5902