Organization
GOODING COUNTY HOSPITAL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EARL EMMERT FITZPATRICK (CEO)
(208) 934-4433
Entity
Organization
Contact information
Practice address
1120 MONTANA ST, GOODING, ID 83330-1858
(208) 934-4433
(208) 934-8643
Mailing address
1120 MONTANA ST, PO BOX 418, GOODING, ID 83330-1858
(208) 934-4433
(208) 934-8643
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
19
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00075
BLUS CROSS
ID
01
—
051280
BLUE SHIELD
ID
Enumeration date
07/11/2006
Last updated
12/20/2007
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