SYRINGA GENERAL HOSPITAL DISTRICT CIF NPI 1497044333

NPI Information

NPI: 1497044333
Provider Name: SYRINGA GENERAL HOSPITAL DISTRICT CIF

Doing Business As: SYRINGA KOOSKIA CLINIC

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
22 N MAIN ST
KOOSKIA, ID
ZIP 83539
Phone: (208) 926-4776
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SYRINGA GENERAL HOSPITAL DISTRICT CIF is a primary care clinic center in Kooskia, ID. SYRINGA GENERAL HOSPITAL DISTRICT CIF NPI is 1497044333. The provider is registered as an organization entity type.
The provider Is Doing Business As Syringa Kooskia Clinic.

The provider's business location address is:

22 N MAIN ST
KOOSKIA, ID
ZIP 83539
Phone: (208) 926-4776
Fax: (208) 926-4696

The provider's authorized official is Betty Watson .
The authorized official title is Cfo and has the following contact phone number (208) 983-1700.

The CLIA number assigned to this NPI record is 13D1007526 - rural health clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/31/2011 and was last updated on 8/2/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	18	IDAHO	Yes

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: 5/5/2024

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