Healthcare Provider Details

I. General information

NPI: 1932650561
Provider Name (Legal Business Name): WEISER VALLEY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2016
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

645 E 5TH ST
WEISER ID
83672-2202
US

IV. Provider business mailing address

645 E 5TH ST
WEISER ID
83672-2202
US

V. Phone/Fax

Practice location:
  • Phone: 208-549-0370
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number32
License Number StateID

VIII. Authorized Official

Name: PAMELA STAMPFLI
Title or Position: CFO
Credential:
Phone: 208-549-0370