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Organization
MVH BMC LLC
Active
Organization
MVH BMC LLC
Active
Parent organization
MOUNTAIN VIEW HOSPITAL
Other names
Blackfoot Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNTAIN VIEW HOSPITAL
Authorized official
MR. NED HILLYARD (CHIEF COMPLIANCE OFFICER)
(208) 557-2711
Entity
Organization
Contact information
Practice address
1441 PARKWAY DR, BLACKFOOT, ID 83221-1667
(208) 785-2600
Mailing address
1441 PARKWAY DR, BLACKFOOT, ID 83221-1667
(208) 785-2600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
261QU0200X
Urgent Care Clinic/Center
—
NULL
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/14/2014
Last updated
04/21/2016
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