St. Luke's Canyon View
NPI #1417330119 in Twin Falls, Idaho
Provider Information
- NPI Number
- 1417330119
- Entity Type
- Organization
- Organization Name
- St. Luke's Canyon View
- Primary Specialty
- Psychiatric Unit
- Enumeration Date
- Jun 30, 2015
- Last Updated
- Jun 30, 2015
Practice Location
- Address
- 228 SHOUP AVE W
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301-5022
- Phone
- (208) 814-7900
Authorized Official
- Name
- WILLIAM FULLMER, RN, MA
- Title
- DIRECTOR
- Phone
- (208) 814-7906
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Unit |
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