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NPI Verification

National Provider Identifier: 1114112216

Southwest Idaho Advanced Care Hospital INC -A Delaware CORP-

Organization

Primary Specialty

Long Term Care Hospital

Code: 282E00000X

All Specialties (6)

Internal Medicine

Code: 207R00000X

Internal Medicine, Critical Care Medicine

Code: 207RC0200X

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Internal Medicine, Pulmonary Disease

Code: 207RP1001X

Physician Assistant, Medical

Code: 363AM0700X

Long Term Care Hospital

Code: 282E00000X

Primary

Practice Address

6651 W FRANKLIN RD

BOISE, ID 83709

Phone: 505-856-5300

NPI Enumeration Date

September 11, 2007

NPI Number

1114112216

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry