Organization
WEST VALLEY MEDICAL CENTER, INC.
Active
Other names
WEST VALLEY MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JARED RUCKS (CFO)
(208) 459-4641
Entity
Organization
Contact information
Practice address
1717 ARLINGTON AVE, CALDWELL, ID 83605-4802
(208) 459-4641
(208) 455-3717
Mailing address
1717 ARLINGTON AVE, CALDWELL, ID 83605-4802
(208) 459-4641
(208) 455-3717
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00380
BLUE CROSS
ID
05
—
026237
—
OR
05
—
027658
—
AZ
05
—
0410091
—
MT
01
—
131642800
DEPT OF LABOR
ID
05
—
241100
—
ID
05
—
3019882
—
WA
01
—
51180
BLUE SHIELD
ID
05
—
HS684IP
—
AK
05
—
XHSP33105
—
CA
Enumeration date
05/31/2006
Last updated
11/12/2025
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