Minidoka Memorial Hospital

LBN: Minidoka Memorial Hospital
Minidoka Memorial Hospital is an health care organization with primary practice located at 1224 8Th St , Rupert ID 83350-1527. The organization recently has 2 registered licenses in different health care specialties including Hospital Units / Medicare Defined Swing Bed Unit, Hospitals / Critical Access. Hospitals / Critical Access is the primary health care specialty. Minidoka Memorial Hospital can be contacted via phone (208) 436-0481, or through Murphy, Thomas J via phone (208) 436-8141.

Contact Information

Primary practice address
1224 8Th St Rupert ID 83350-1527
Phone: (208) 436-0481
Fax: (208) 436-6038
Website:
Map and Directions
Authorized official contact:
Name: Murphy, Thomas J
Phone: (208) 436-8141

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Medicare Defined Swing Bed Unit 275N00000X 26 Idaho
Hospitals / Critical Access 282NC0060X 26 Idaho

Profile Details

NPI number 1679553531
LBN Legal business name Minidoka Memorial Hospital
DBA Doing business as
Authorized official Murphy, Thomas J
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2006
Last updated Feb 24th, 2017 - about 9 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 1679553531 NPPES
Idaho MEDICAID M0023360
Idaho Other 000010006548
Idaho Other 00166
Idaho Other 1254303

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