Organization
ONEIDA COUNTY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD V WINDER (ADMINISTRATOR / CEO)
(208) 766-2231
Entity
Organization
Contact information
Practice address
150 N 200 W, MALAD, ID 83252-1239
(208) 766-2231
(208) 766-4819
Mailing address
150 N 200 W, MALAD, ID 83252-1239
(208) 766-2231
(208) 766-4819
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
41
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010006645
BLUE SHIELD OF IDAHO
ID
01
—
00430
BLUE CROSS OF IDAHO
ID
Enumeration date
05/12/2006
Last updated
08/22/2020
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