Organization
MAGIC VALLEY REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN KEE (CEO)
(208) 737-2103
Entity
Organization
Contact information
Practice address
650 ADDISON AVE W, TWIN FALLS, ID 83301-5444
(208) 732-3000
(208) 732-3220
Mailing address
PO BOX 409, 650 ADDISON AVE W, TWIN FALLS, ID 83303-0409
(208) 732-3000
(208) 732-3220
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
14
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010006646
BLUE SHIELD
ID
01
—
000010006647
BLUE SHIELD
ID
01
—
000010006649
BLUE SHIELD
ID
01
—
000010006672
BLUE SHIELD
ID
01
—
000010006673
BLUE SHIELD
ID
01
—
00018
BLUE CROSS
ID
01
—
01958
BLUE CROSS OF IDAHO
ID
01
—
02576
BLUE CROSS OF IDAHO
ID
01
—
03269
BLUE CROSS OF IDAHO
ID
01
—
8C535
BLUE CROSS OF IDAHO
ID
01
—
8K198
BLUE CROSS OF IDAHO
ID
Enumeration date
07/07/2005
Last updated
08/22/2020
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