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NPI Code Detail

MEDICARE: SYRINGA GENERAL HOSPITAL DISTRICT C I F

MEDICARE: SYRINGA GENERAL HOSPITAL DISTRICT C I F
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
13416L0300XLand Ambulance7208ID
2282NC0060XCritical Access Hospital18ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
283642OTHERIDPRO FEE BLUE CROSS OF ID
300299OTHERIDBLUE CROSS OF IDAHO
4000010006515OTHERIDREGENCE BLUE SHIELD OF ID

General Provider Information

NPI Number : 1750336608
Entity Type Code : Organization
Provider Name (Legal Business Name) : SYRINGA GENERAL HOSPITAL DISTRICT C I F
Provider Business Mailing Address
First Line : 607 W MAIN ST
Second Line :
City : GRANGEVILLE
State : ID
Zip : 83530-1345
Country : US
Telephone Number : 208-983-1700
Fax Number :
Provider Business Practice Location Address
First Line : 607 W MAIN ST
Second Line :
City : GRANGEVILLE
State : ID
Zip : 83530-1345
Country : US
Telephone Number : 208-983-1700
Fax Number :
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : DAVID PAUL APPLEWOOD
Credential :
Telephone Number : 208-983-1700
Provider Enumeration Date : 05/22/2006
Last Update Date : 07/13/2024

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Directions to “SYRINGA GENERAL HOSPITAL DISTRICT C I F ” Practice Location

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