Healthcare Provider Details

I. General information

NPI: 1720298102
Provider Name (Legal Business Name): WEISER VALLEY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

645 E. 5TH STREET
WEISER ID
83672-2202
US

IV. Provider business mailing address

645 E. 5TH STREET
WEISER ID
83672-2202
US

V. Phone/Fax

Practice location:
  • Phone: 208-549-0370
  • Fax:
Mailing address:
  • Phone: 208-549-0370
  • Fax: 208-414-4267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number32
License Number StateID
# 2
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number
License Number State

VIII. Authorized Official

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