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General NPI Number Information
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NPI Number | 1598601007
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Entity Type | Organization
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Legal Business Name | SYRINGA GENERAL HOSPITAL DISTRICT C I F
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 607 W MAIN ST
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City | GRANGEVILLE
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State | ID
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Zip | 83530-1345
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Country | US
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Telephone | 208-983-1700
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Fax | 208-983-4665
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Provider Business Mailing Address
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Address Line | 607 W MAIN ST
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City | GRANGEVILLE
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State | ID
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Zip | 83530-1345
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Country | US
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Telephone | 208-983-1700
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Fax | 208-983-4665
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | RANDY NIGHTENGALE
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Credential |
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Telephone | 208-983-8516
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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