Organization
ONEIDA COUNTY HOSPITAL PHYSICIANS GROUP
Active
Parent organization
ONEIDA COUNTY HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
ONEIDA COUNTY HOSPITAL
Authorized official
TODD V WINDER (ADMINISTRATOR / CEO)
(208) 766-2231
Entity
Organization
Contact information
Practice address
150 N 200 W, MALAD, ID 83252-1239
(208) 766-2231
(208) 766-4819
Mailing address
150 N 200 W, MALAD, ID 83252-1239
(208) 766-2231
(208) 766-4819
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
41
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8M787
BLUECROSS OF ID
ID
Enumeration date
05/17/2006
Last updated
09/11/2007
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