Organization
EASTERN IDAHO HEALTH SERVICES INC
Active
Other names
EASTERN IDAHO REGIONAL MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
AARON MARTIN (CFO)
(208) 529-6109
Entity
Organization
Contact information
Practice address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
(208) 529-6111
(208) 529-7021
Mailing address
3100 CHANNING WAY, P.O. BOX 2077, IDAHO FALLS, ID 83404-7533
(208) 529-6111
(208) 529-7021
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010006678
BLUE SHIELD
ID
01
—
00315
BLUE CROSS
ID
05
—
022575
—
AZ
05
—
0414336
—
MT
05
—
091843
—
OR
05
—
114794300
—
WY
05
—
1188039
—
NV
05
—
2614200
—
ID
05
—
3020989
—
WA
05
—
HS848IP
—
AK
05
—
XHSP31065
—
CA
Enumeration date
05/22/2006
Last updated
11/05/2025
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