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NPI Code Detail

MEDICARE: WALTER KNOX MEMORIAL HOSPITAL

MEDICARE: WALTER KNOX MEMORIAL HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1275N00000XMedicare Defined Swing Bed Hospital Unit07ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
200091OTHERIDBLUE CROSS SWING BED

General Provider Information

NPI Number : 1700909983
Entity Type Code : Organization
Provider Name (Legal Business Name) : WALTER KNOX MEMORIAL HOSPITAL
Provider Business Mailing Address
First Line : 1202 E LOCUST ST
Second Line :
City : EMMETT
State : ID
Zip : 83617-2715
Country : US
Telephone Number : 208-365-3561
Fax Number : 208-365-4176
Provider Business Practice Location Address
First Line : 1202 E LOCUST ST
Second Line :
City : EMMETT
State : ID
Zip : 83617-2715
Country : US
Telephone Number : 208-365-3561
Fax Number : 208-365-4176
Authorized Official
Title or Position : CEO
Name : BRAD TURPEN
Credential :
Telephone Number : 208-365-3561
Provider Enumeration Date : 04/10/2007
Last Update Date : 11/30/2019

Similar Medicare Providers

1063419018 — WALTER KNOX MEMORIAL HOSPITAL
Practice Location Address:
1202 E LOCUST ST
EMMETT, ID
83617-2715
Practice Phone: 208-365-3561
Practice Fax: 208-365-4176
1649264052 — DR. TREVOR D. TREDENNICK M.D.
Practice Location Address:
1202 E LOCUST ST
EMMETT, ID
83617-2715
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Practice Fax:
1366741019 — DEBRA ANNE PHILLIPS FNP-BC
Practice Location Address:
1202 E LOCUST ST
EMMETT, ID
83617-2715
Practice Phone: 208-365-3561
Practice Fax: 208-365-4176
1457641342 — CORY ONDLER D.O.
Practice Location Address:
1202 E LOCUST ST
EMMETT, ID
83617-2715
Practice Phone: 208-365-3561
Practice Fax:
1760726897 — DR. JEROD L HINES M.D.
Practice Location Address:
1202 E LOCUST ST
EMMETT, ID
83617-2715
Practice Phone: 208-365-3563
Practice Fax:
1841655826 — LISA ISAKSEN NP-C, PMHNP-BC
Practice Location Address:
1202 E LOCUST ST
EMMETT, ID
83617-2715
Practice Phone: 208-365-3561
Practice Fax: 208-365-3589

Directions to “WALTER KNOX MEMORIAL HOSPITAL ” Practice Location

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