Organization
EASTERN IDAHO HEALTH SERVICES, INC.
Active
Other names
EASTERN IDAHO REGIONAL MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY BAIOCCO (CFO)
(208) 529-6111
Entity
Organization
Contact information
Practice address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
(208) 529-6111
(208) 529-7021
Mailing address
3100 CHANNING WAY, P.O. BOX 2077, IDAHO FALLS, ID 83404-7533
(208) 529-6111
(208) 529-7021
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010006677
BLUE CROSS PRO-FEE
—
05
—
002663100
—
ID
Enumeration date
06/22/2007
Last updated
08/16/2023
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