Eastern Idaho Health Services, Inc.

NPI #1043264021 in Idaho Falls, Idaho

Provider Information

NPI Number
1043264021
Entity Type
Organization
Organization Name
Eastern Idaho Health Services, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
EASTERN IDAHO HEALTH SERVICES, INC.
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 22, 2006
Last Updated
Oct 27, 2011

Practice Location

Address
3100 CHANNING WAY
State
Idaho
ZIP Code
83404-7533
Phone
(208) 529-6111

Authorized Official

Name
JEFFREY BAIOCCO
Title
CFO
Phone
(208) 529-6111

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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