Stanley J Waters
General Acute Care Hospital in Emmett, ID. Organization (NPI-2).
NPI number1023367828
StatusActive
Last updated in NPPESSep 7, 2012
Details
- NPI
- 1023367828
- Entity type
- Organization (NPI-2)
- Legal business name
- Stanley J Waters
- Organization subpart
- No
- Enumeration date
- Sep 7, 2012
- Last updated
- Sep 7, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 282N00000X | General Acute Care Hospital | N-36730 | ID | Yes |
Practice location
1795 S Sub Station RdEmmett, ID 83617-9431
Phone 208-870-2689
Mailing address
1795 S Sub Station RdEmmett, ID 83617-9431
Phone 208-870-2689
Authorized official
Kathy Ann Buckley
Rnfa
2088702689
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