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Organization
EASTERN IDAHO HEALTH SERVICES, INC.
Active
Organization
EASTERN IDAHO HEALTH SERVICES, INC.
Active
Other names
EASTERN IDAHO REGIONAL MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY BAIOCCO (CFO)
(208) 529-6111
Entity
Organization
Contact information
Practice address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
(208) 529-6111
(208) 529-7021
Mailing address
3100 CHANNING WAY, P.O. BOX 2077, IDAHO FALLS, ID 83404-7533
(208) 529-6111
(208) 529-7021
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010006677
BLUE CROSS PRO-FEE
—
05
—
002663100
—
ID
Enumeration date
06/22/2007
Last updated
08/16/2023
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