Elmore Medical Center Specialty Physician Group
NPI #1417122821 in Mountain Home, Idaho
Provider Information
- NPI Number
- 1417122821
- Entity Type
- Organization
- Organization Name
- Elmore Medical Center Specialty Physician Group
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ELMORE MEDICAL CENTER HOSPITAL DISTRICT
- Primary Specialty
- General Acute Care Hospital - Critical Access
- Enumeration Date
- Apr 25, 2008
- Last Updated
- May 28, 2009
Practice Location
- Address
- 890 N 6TH E
- City
- Mountain Home
- State
- Idaho
- ZIP Code
- 83647-2206
- Phone
- (208) 587-8401
Authorized Official
- Name
- MRS. MARY E JANOUSEK
- Title
- OFFICE MANAGER
- Phone
- (208) 587-8401
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Acute Care Hospital - Critical Access — Critical Access |
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