Organization
IDAHO HYPERBARICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF HAMPSTEN CHT (OPERATIONS DIRECTOR)
(208) 237-1151
Entity
Organization
Contact information
Practice address
1125 W ALAMEDA RD, POCATELLO, ID 83201-6143
(208) 237-1151
(208) 237-2907
Mailing address
1125 W ALAMEDA RD, POCATELLO, ID 83201-6143
(208) 237-1151
(208) 237-9721
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806701900
—
ID
Enumeration date
07/12/2005
Last updated
07/21/2022
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