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BOISE INTENSIVE CARE HOSPITAL INC NPI 1427293521


NPI Information

NPI: 1427293521
Provider Name: BOISE INTENSIVE CARE HOSPITAL INC

Doing Business As: COMPLEX CARE HOSPTIAL OF IDAHO

Classification: Long Term Care Hospital - 282E00000X
Entity Type: Organization
Address:
2131 S BONITO WAY
MERIDIAN, ID
ZIP 83642
Phone: (877) 801-2244
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BOISE INTENSIVE CARE HOSPITAL INC is a long term care hospital in Meridian, ID. The provider is long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. BOISE INTENSIVE CARE HOSPITAL INC NPI is 1427293521. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Complex Care Hosptial Of Idaho.

The provider's business location address is:

2131 S BONITO WAY
MERIDIAN, ID
ZIP 83642-659
Phone: (877) 801-2244
Fax: (208) 489-9599

The provider's authorized official is John Michael Cronin .
The authorized official title is Vice President and has the following contact phone number (469) 241-2128.

The enumeration date for this NPI number is 12/4/2008 and was last updated on 1/7/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208M00000XHospitalist69IDAHONo
2282E00000XLong Term Care Hospital69IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11369006OTHERIDAHOMEDICARE - B
2132002MEDICARE OSCAR/CERTIFICATIONIDAHO
3808282500MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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