Magic Valley Regional Medical Center

NPI #1194787010 in Twin Falls, Idaho

Provider Information

NPI Number
1194787010
Entity Type
Organization
Organization Name
Magic Valley Regional Medical Center
Primary Specialty
General Acute Care Hospital
Enumeration Date
Apr 5, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
650 ADDISON AVE W
State
Idaho
ZIP Code
83301-5444
Phone
(208) 737-2112

Authorized Official

Name
MR. NICHOLAS JOHN PERIUS, PA-C
Title
PHYSICIAN ASSISTANT
Phone
(208) 737-2112

Specialties & Taxonomy Codes

Specialty
General Acute Care Hospital

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Part of St Lukes Health System Ltd

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