Organization
RUPERT MEDICAL CENTER PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY SAUREY (OWNER)
(208) 436-4232
Entity
Organization
Contact information
Practice address
1218 9TH ST STE 7, RUPERT, ID 83350-2207
(208) 436-3161
Mailing address
1218 9TH ST STE 7, RUPERT, ID 83350-2207
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002262800
—
ID
Enumeration date
10/19/2006
Last updated
01/06/2015
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