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Organization
MOUNTAIN VIEW HOSPITAL LLC
Active
Organization
MOUNTAIN VIEW HOSPITAL LLC
Active
Parent organization
MOUNTAIN VIEW HOSPITAL LLC
Other names
Pain and Spine Specialists of Idaho
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNTAIN VIEW HOSPITAL LLC
Authorized official
MR. NED HILLYARD (CHIEF COMPLIANCE OFFICER)
(208) 557-2711
Entity
Organization
Contact information
Practice address
1595 YELLOWSTONE AVE, POCATELLO, ID 83201-4203
(208) 522-7246
Mailing address
2325 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 557-2700
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
ID
Other
Enumeration date
08/18/2015
Last updated
09/23/2015
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