Tri-State Memorial Hospital

NPI #1386690907 in Lewiston, Idaho

Provider Information

NPI Number
1386690907
Entity Type
Organization
Organization Name
Tri-State Memorial Hospital
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
May 25, 2006
Last Updated
Aug 4, 2009

Practice Location

Address
730 21ST ST
State
Idaho
ZIP Code
83501-3323
Phone
(208) 746-8280

Authorized Official

Name
MR. ALEX C. TOWN
Title
CFO
Phone
(509) 758-4667

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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