Organization
SYRINGA GENERAL HOSPITAL DISTRICT C I F
Active
Other names
Syringa Kooskia Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID APPLEWOOD (CHIEF FINANCIAL OFFICER)
(208) 983-1700
Entity
Organization
Contact information
Practice address
22 N MAIN ST, KOOSKIA, ID 83539
(208) 926-4776
(208) 926-4696
Mailing address
607 W MAIN ST, GRANGEVILLE, ID 83530-1345
(208) 983-1700
(208) 983-4665
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
18
ID
Other
Enumeration date
03/31/2011
Last updated
02/16/2025
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