Memorial Hospital - Radiology

LBN: Memorial Hospital - Radiology
Memorial Hospital - Radiology is an health care organization with primary practice located at 645 E 5Th St , Weiser ID 83672-2202. The organization recently has only one registered license in Hospitals / Critical Access, which is considered as the primary health care specialty. Memorial Hospital - Radiology can be contacted via phone (208) 549-0370, or through Johnson, Wade via phone (208) 549-4450.

Contact Information

Primary practice address
645 E 5Th St Weiser ID 83672-2202
Phone: (208) 549-0370
Fax: (208) 414-4267
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Wade
Phone: (208) 549-4450

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X 32 Idaho

Profile Details

NPI number 1639373772
LBN Legal business name Memorial Hospital - Radiology
DBA Doing business as
Authorized official Johnson, Wade
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2007
Last updated Jan 29th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639373772 NPPES
Idaho Other 8K396 BLUE CROSS GROUP
Idaho MEDICAID 002851300 BLUE CROSS GROUP
Idaho MEDICAID 121244 BLUE CROSS GROUP
Idaho MEDICAID 3032901 BLUE CROSS GROUP
Idaho Other 000010027650 BLUE CROSS GROUP

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