Organization
MOUNTAIN VIEW HOSPITAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NED W HILLYARD (CCO)
(208) 709-4571
Entity
Organization
Contact information
Practice address
72 E MAIN ST, REXBURG, ID 83440-1926
(208) 359-1770
(208) 359-1780
Mailing address
2325 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 557-2700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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