Memorial Hospital - Radiology in Weiser - Critical Access
Memorial Hospital - Radiology - NPI 1639373772
Memorial Hospital - Radiology is a Critical Access in Weiser, Idaho. Memorial Hospital - Radiology practices all healthcare services and medical treatments related to Critical Access. The NPI Number for Memorial Hospital - Radiology is 1639373772. The last update date is 2009-01-29.
Memorial Hospital - Radiology's current location address is 645 E 5th St, Weiser, Idaho. You can contact this provider via phone number 2085490370 and fax number 2084144267. The mailing address for Memorial Hospital - Radiology is 645 E 5th St, Weiser, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Memorial Hospital - Radiology |
|---|---|
| Address | 645 E 5th St, Weiser, Idaho |
| Phone Number | 2085490370 |
| Fax Number | 2084144267 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Johnson Wade |
| Telephone Number | 2085494450 |
NPI Number Detail
| NPI Number | 1639373772 |
|---|---|
| Provider Enumeration Date | 2007-06-13 |
| Last Updated Date | 2009-01-29 |
Provider Mailing Address Detail
| Address | 645 E 5th St |
|---|---|
| City | Weiser |
| State | Idaho (ID) |
| Post Code | 836722202 |
| Phone Number | 2085490370 |
| Fax Number | 2084144267 |
Provider's Primary Taxonomy Detail
| Speciality | Critical Access |
|---|---|
| Taxonomy | 282Nc0060X |
| Licence No | 32 |
|
Definition: Small, rural hospital meeting location and service criteria that allow it to receive cost-based Medicare and Medicaid reimbursement. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8K396 | ID | BLUE CROSS GROUP | |
| 2851300 | ID | -- | |
| 121244 | OR | -- | |
| 3032901 | WA | -- | |
| 10027650 | ID | BLUE SHIELD RADY |
Post Comment/ Review Below
What is the Memorial Hospital - Radiology's unique identification number?
The Memorial Hospital - Radiology has been assigned the NPI (National Provider Identifier) Number 1639373772 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Memorial Hospital - Radiology is physically located?
The Memorial Hospital - Radiology is situated at the following address: 645 E 5Th St, Weiser, ID 836722202.
What is Memorial Hospital - Radiology's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Memorial Hospital - Radiology is Critical Access, and the taxonomy code that categorizes this field of expertise is 282Nc0060X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1639373772 to Memorial Hospital - Radiology?
The Centers for Medicare & Medicaid Services originally issued the 1639373772 to Memorial Hospital - Radiology on 2007-06-13.
When was the information regarding Memorial Hospital - Radiology, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Memorial Hospital - Radiology, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-01-29.
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