Organization
HYPERBARIC CENTERS OF IDAHO LLC
Active
Other names
Hyperbarics of Sun Valley
Organization subpart
No
Provider details
NPI number
Authorized official
PHIL RAINEY CHT, EMT (OWNER)
(208) 720-4603
Entity
Organization
Contact information
Practice address
613 N RIVER ST, HAILEY, ID 83333-8438
(208) 720-4603
Mailing address
721 HAILEY DR, HAILEY, ID 83333-8778
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/09/2018
Last updated
06/26/2024
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