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Organization

MINIDOKA MEMORIAL HOSPITAL

Active
Parent organization
MINIDOKA MEMORIAL HOSPITAL
Other names
Countyside Care and Rehab
Organization subpart
Yes

Provider details

NPI number
Legal business name
MINIDOKA MEMORIAL HOSPITAL
Authorized official
THOMAS J MURPHY (ADMINISTRATOR)
(208) 436-8141
Entity
Organization

Contact information

Practice address
1224 8TH ST, RUPERT, ID 83350-1527
(208) 436-0481
(208) 436-6038
Mailing address
1224 8TH ST, RUPERT, ID 83350-1527
(208) 436-0481
(208) 436-6038

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
H26
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
M0023369
ID
Enumeration date
06/16/2006
Last updated
01/18/2016
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