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1958

General Acute Care Hospital, Rural in Pocatello, ID. Organization (NPI-2).

NPI number1013306307
StatusActive
Last updated in NPPESJan 9, 2015

Details

NPI
1013306307
Entity type
Organization (NPI-2)
Legal business name
1958
Organization subpart
No
Enumeration date
Jan 9, 2015
Last updated
Jan 9, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
282NR1301X General Acute Care Hospital, Rural728144CAYes

Practice location

730 E Clark St
#4657
Pocatello, ID 83205-5401

Phone 619-838-4593

Mailing address

9344 National Blvd Apt 11
Los Angeles, CA 90034-2925

Phone 619-838-4593

Authorized official

Loraine Powell
Registered Nurse
6198384593

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