Organization
NORTHWEST BEL-CORP
Active
Other names
Aspen Grove Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
DANNIS M ADAMSON (PRESIDENT OF NORTHWEST BCC-CORP DBA)
(208) 637-0999
Entity
Organization
Contact information
Practice address
1440 FILER AVENUE EAST, TWIN FALLS, ID 83301-4121
(208) 733-2234
Mailing address
PO BOX 4007, POCATELLO, ID 83205
(208) 637-0999
(208) 238-0460
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806624700
—
ID
Enumeration date
02/14/2007
Last updated
07/14/2008
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