Organization
ELMORE MEDICAL CENTER HOSPITAL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY E JANOUSEK (OFFICE MANAGER)
(208) 587-8401
Entity
Organization
Contact information
Practice address
895 N 6TH E, MOUNTAIN HOME, ID 83647-2207
(208) 587-8401
(208) 587-8406
Mailing address
895 N 6TH E, MOUNTAIN HOME, ID 83647-2207
(208) 587-8401
(208) 587-8406
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010148578
EMC RADIOLOGY GROUP
ID
05
—
807044000
—
ID
01
—
8K594
EMC RADIOLOGY GROUP
ID
Enumeration date
03/16/2007
Last updated
11/10/2008
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