# LOST RIVERS DISTRICT HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LOST RIVERS HOME CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336147149
- **Authorized official:** MR. KIM DAHLMAN (CEO)
- **Authorized official phone:** (208) 527-8206

## Contact information

- **Practice address:** 551 HIGHLAND DR, ARCO, ID 83213-9771
- **Practice address phone:** (208) 527-8206
- **Practice address fax:** (208) 527-3430
- **Mailing address:** PO BOX 145, ARCO, ID 83213-0145
- **Mailing address phone:** (208) 527-8206
- **Mailing address fax:** (208) 527-3430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HH-220 | ID | Yes |

## Other

- **Enumeration date:** 07/14/2005
- **Last updated:** 08/28/2007