Organization
MOUNTAIN VIEW HOSPITAL LLC
Active
Parent organization
MOUNTAIN VIEW HOSPITAL LLC
Other names
Mountain View Redicare
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNTAIN VIEW HOSPITAL LLC
Authorized official
NED HILLYARD CCO (CHEIF COMPLIANCE OFFICER)
(208) 557-2711
Entity
Organization
Contact information
Practice address
2730 CHANNING WAY, IDAHO FALLS, ID 83404-5049
(208) 542-7100
(208) 542-7150
Mailing address
2325 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 557-2700
(208) 557-2701
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
11/19/2012
Last updated
11/12/2013
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