Organization
WALTER KNOX MEMORIAL HOSPITAL
Active
Other names
Valor Health, Swing Bed
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD TURPEN (CEO)
(208) 365-3561
Entity
Organization
Contact information
Practice address
1202 E LOCUST ST, EMMETT, ID 83617-2715
(208) 365-3561
(208) 365-4176
Mailing address
1202 E LOCUST ST, EMMETT, ID 83617-2715
(208) 365-3561
(208) 365-4176
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
07
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00091
BLUE CROSS SWING BED
ID
05
—
002811400
—
ID
Enumeration date
04/10/2007
Last updated
11/30/2019
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