Organization
ASHTON MEMORIAL, INC.
Active
Other names
Ashton Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE NIELSEN (HR DIRECTOR)
(208) 652-7461
Entity
Organization
Contact information
Practice address
700 N 2ND ST, ASHTON, ID 83420
(208) 652-7461
(208) 652-7595
Mailing address
PO BOX 838, 700 N 2ND ST, ASHTON, ID 83420-0838
(208) 652-7461
(208) 652-7595
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
26
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02014
BLUE CROSS
ID
05
—
2283000
—
ID
Enumeration date
08/09/2005
Last updated
11/19/2025
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