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Organization

SYRINGA GENERAL HOSPITAL DISTRICT C I F

Active
Other names
Syringa General Hospital Hospice
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID APPLEWOOD (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
251G00000X
Community Based Hospice Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
H0325
BLUE CROSS PROVIDER NUMBE
ID
Enumeration date
03/15/2007
Last updated
02/16/2025
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