# SYRINGA GENERAL HOSPITAL DISTRICT CIF

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Syringa Walk-In Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376832790
- **Authorized official:** BETTY WATSON (CFO)
- **Authorized official phone:** (208) 983-1700

## Contact information

- **Practice address:** 607 W MAIN ST, GRANGEVILLE, ID 83530-1345
- **Practice address phone:** (208) 983-1700
- **Practice address fax:** (208) 983-2114
- **Mailing address:** 711 W NORTH ST, SUITE 2, GRANGEVILLE, ID 83530-1349
- **Mailing address phone:** (208) 983-5120
- **Mailing address fax:** (208) 983-5404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | 18 | ID | Yes |

## Other

- **Enumeration date:** 04/06/2011
- **Last updated:** 04/06/2011