Mountain River Birthing and Surgery Center LLC

NPI #1851371959 in Blackfoot, Idaho

Provider Information

NPI Number
1851371959
Entity Type
Organization
Organization Name
Mountain River Birthing and Surgery Center LLC
Primary Specialty
General Acute Care Hospital
Enumeration Date
Jan 17, 2006
Last Updated
Dec 16, 2019

Practice Location

Address
350 N MERIDIAN ST
State
Idaho
ZIP Code
83221-1625
Phone
(208) 782-0300

Authorized Official

Name
JACOB ERICKSON
Title
CEO
Phone
(208) 785-3801

Specialties & Taxonomy Codes

Specialty
General Acute Care Hospital

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