Organization
SYRINGA GENERAL HOSPITAL DISTRICT HOME HEALTH
Active
Other names
Syringa General Hospital Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BETTY WATSON (CHIEF FINANCIAL OFFICER)
(208) 983-1700
Entity
Organization
Contact information
Practice address
607 W MAIN ST, GRANGEVILLE, ID 83530-1345
(208) 983-1700
(208) 983-8520
Mailing address
607 W MAIN ST, GRANGEVILLE, ID 83530-1345
(208) 983-1700
(208) 983-8520
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81836
BLUE CROSS PROVIDER NUMBE
ID
Enumeration date
03/14/2007
Last updated
02/22/2010
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