Syringa General Hospital District C I F
Clinic/Center, Primary Care in Grangeville, ID. Organization (NPI-2).
NPI number1073802492
StatusActive
Last updated in NPPESFeb 16, 2025
Details
- NPI
- 1073802492
- Entity type
- Organization (NPI-2)
- Legal business name
- Syringa General Hospital District C I F
- Organization subpart
- No
- Enumeration date
- Apr 6, 2011
- Certification date
- Feb 16, 2025
- Last updated
- Feb 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | 18 | ID | Yes |
Other names
- Syringa Primary Care Clinic (Doing Business As)
Practice location
607 W Main StGrangeville, ID 83530-1345
Phone 208-983-1700 · Fax 208-983-2114
Mailing address
722 W North StGrangeville, ID 83530-1350
Phone 208-983-8590 · Fax 208-983-8580
Authorized official
David Paul Applewood
Chief Financial Officer
2089831700
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