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Organization

MINIDOKA MEMORIAL HOSPITAL

Active
Other names
Minidoka Medical Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. THOMAS J MURPHY (ADMINISTRATOR)
(208) 436-8141
Entity
Organization

Contact information

Practice address
1308 8TH ST, SUITE 1, RUPERT, ID 83350-1530
(208) 436-4322
(208) 434-8675
Mailing address
1308 8TH ST, SUITE 1, RUPERT, ID 83350-1530
(208) 436-4322
(208) 436-1312

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
MMCRHC
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00001002451
BLUE SHIELD
ID
01
74146
BLUE CROSS
ID
05
M8073867
ID
Enumeration date
11/29/2006
Last updated
03/26/2025
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