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Organization

LOST RIVERS DISTRICT HOSPITAL

Active
Other names
LOST RIVERS HOSPICE
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRAD HUERTA (CEO)
(208) 527-8206
Entity
Organization

Contact information

Practice address
551 HIGHLAND DR, ARCO, ID 83213
(208) 527-8206
(208) 527-3105
Mailing address
PO BOX 145, ARCO, ID 83213-0145
(208) 527-8206
(208) 527-3105

Taxonomy

Speciality
Code
Description
License number
State
315D00000X
Inpatient Hospice
Primary

Other

Enumeration date
08/16/2006
Last updated
01/10/2014
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