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General NPI Number Information
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NPI Number | 1851403265
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Entity Type | Organization
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Legal Business Name | STEELE MEMORIAL MEDICAL CENTER
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 11/01/2022
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Provider Practice Location Address
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Address Line | 203 S DAISY ST
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City | SALMON
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State | ID
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Zip | 83467-0000
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Country | US
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Telephone | 208-756-5600
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Fax | 208-756-4169
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Provider Business Mailing Address
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Address Line | PO BOX 700
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City | SALMON
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State | ID
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Zip | 83467-0700
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Country | US
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Telephone | 208-756-5600
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Fax | 208-756-4169
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Authorized Official
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Title or Position | CFO
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Name | RYAN LARSON
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Credential |
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Telephone | 208-756-5561
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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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 | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 28
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License Number State | ID
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