Organization
CONCORDIA HEALTH CARE INC
Active
Other names
Concordia Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA LOUISE TAYLOR (PRESIDENT & CEO)
(208) 221-9137
Entity
Organization
Contact information
Practice address
1200 HOSPITAL WAY, POCATELLO, ID 83201-2708
(208) 232-2570
(208) 233-6769
Mailing address
2520 S 5TH AVE, POCATELLO, ID 83204-1923
(208) 221-9137
(888) 222-6504
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
59
ID
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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