Organization
NORTH CUSTER HOSPITAL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARLENE MILLER (NCHD ADMINISTRATOR)
(208) 879-2883
Entity
Organization
Contact information
Practice address
611 CLINIC RD, CHALLIS, ID 83226
(208) 879-2883
(208) 879-2020
Mailing address
PO BOX 357, CHALLIS, ID 83226-0357
(208) 879-2883
(208) 879-2020
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
7709
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002867400
—
ID
Enumeration date
04/13/2007
Last updated
06/26/2014
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