Organization
WEISER VALLEY HOSPITAL DISTRICT
Active
Other names
Memorial Hospital - Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA STAMPFLI (CFO)
(208) 549-0370
Entity
Organization
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Mailing address
645 E 5TH ST, WEISER, ID 83672-2202
(208) 549-0370
(208) 414-4267
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
282NC0060X
Critical Access Hospital
Primary
32
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010027650
BLUE SHIELD RADY
ID
05
—
002851300
—
ID
05
—
121244
—
OR
05
—
3032901
—
WA
01
—
8K396
BLUE CROSS GROUP
ID
Enumeration date
06/13/2007
Last updated
11/17/2025
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