Organization
WALTER KNOX MEMORIAL HOSPITAL
Active
Other names
Valor Health
Organization subpart
No
Provider details
NPI number
Authorized official
PAM STAMPFLI (CFO)
(208) 901-3213
Entity
Organization
Contact information
Practice address
1202 E LOCUST ST, EMMETT, ID 83617-2715
(208) 365-3561
(208) 365-4176
Mailing address
1202 E LOCUST ST, EMMETT, ID 83617-2715
(208) 365-3561
(208) 365-4176
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
07
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010005890
REGENCE BS HOSPITAL
ID
01
—
000010005891
REGENCE BS PROFESSIONAL
ID
01
—
00091
BC HOSPITAL PROV #
ID
05
—
002811000
—
ID
01
—
002811100
MEDICAID DR. PROVIDER #
ID
01
—
002811200
MEDICAID PHARMACY PROV #
ID
01
—
002811500
MEDICAID ANESTHESIA PROV#
ID
01
—
0101300227002
MEDICAID KENTUCKY
KY
01
—
109654
MEDICAID ARIZONA
AZ
01
—
1252002
MEDICARE PROF. FEE PROV #
ID
01
—
4103426
MEDICAID MONTANA
MT
01
—
805213700
MEDICAID ER ROOM PHYSICIA
ID
01
—
8K446
BLUE CROSS PROFESSIONAL
ID
01
—
95002960
MEDICAID COLORADO
CO
01
—
XHSP30645
MEDICAID CA IN PATIENT
CA
01
—
XHSP40645
MEDICAID CA OUT PATIENT
CA
Enumeration date
07/06/2005
Last updated
11/07/2019
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