Organization
HOSPICE OF EASTERN IDAHO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIERRA ELIZABETH MCNEIL (EXECUTIVE DIRECTOR)
(208) 529-0342
Entity
Organization
Contact information
Practice address
1810 MORAN ST., IDAHO FALLS, ID 83401
(208) 529-0342
(208) 529-6981
Mailing address
1810 MORAN ST, IDAHO FALLS, ID 83401-4337
(208) 529-0342
(208) 529-6981
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805860300
—
ID
Enumeration date
05/31/2005
Last updated
03/17/2026
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