Organization
SYRINGA GENERAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERI FANTINI (PFS MANAGER)
(208) 983-1700
Entity
Organization
Contact information
Practice address
607 W MAIN ST, GRANGEVILLE, ID 83530-1345
(208) 983-1700
(208) 983-2114
Mailing address
607 W MAIN ST, GRANGEVILLE, ID 83530-1345
(208) 983-1700
(208) 983-2114
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
18
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1252305
CIGNA
ID
Enumeration date
08/07/2007
Last updated
08/07/2007
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