Organization
EMP IDAHO NAMPA, LLC
Active
Other names
Saint Alphonsus Neighborhood Hospital - South Nampa
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BUCK MD (SECRETARY)
(713) 637-1004
Entity
Organization
Contact information
Practice address
1510 12TH AVENUE RD, SUITE 100, NAMPA, ID 83686
(713) 637-1146
(281) 298-5311
Mailing address
8686 NEW TRAILS DR STE 100, THE WOODLANDS, TX 77381-1176
(713) 637-1146
(281) 298-5311
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
71
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093245953
—
ID
01
—
13-0072
MEDICARE
ID
Enumeration date
06/14/2017
Last updated
07/19/2018
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