Organization
WEST VALLEY MEDICAL CENTER INC
Active
Parent organization
WEST VALLEY MEDICAL CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST VALLEY MEDICAL CENTER, INC.
Authorized official
MRS. KATHY MOORE (CEO)
(208) 455-3718
Entity
Organization
Contact information
Practice address
1717 ARLINGTON AVE, CALDWELL, ID 83605
(208) 455-4641
Mailing address
1717 ARLINGTON AVE, CALDWELL, ID 83605-4802
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
804302300
—
ID
05
—
805094000
—
ID
Enumeration date
06/14/2006
Last updated
06/20/2018
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