HOSPICE OF EASTERN IDAHO INC. NPI 1407859721

NPI Information

HOSPICE OF EASTERN IDAHO, INC. is a hospice care community based in Idaho Falls, ID. HOSPICE OF EASTERN IDAHO, INC. NPI is 1407859721. The provider is registered as an organization entity type.

The provider's business location address is:

1810 MORAN ST.
IDAHO FALLS, ID
ZIP 83401
Phone: (208) 529-0342
Fax: (208) 529-6981

The provider's authorized official is Celeste Eld .
The authorized official title is Executive Director and has the following contact phone number (208) 529-0342.

The CLIA number assigned to this NPI record is 13D2100340 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/31/2005 and was last updated on 8/6/2013.

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:

Other Identifiers

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

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