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Contact Information

JASON R GREENHALGH, MD
775 POLE LINE RD W
SUITE 301
TWIN FALLS, ID83301-5814
 Phone: 208-814-8700
 Fax: 208-933-4914
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for JASON R GREENHALGH · (Male)

NPI Number 1952478703
Status Active
Credentials MD
Entity Individual
Enumeration date 11/29/2006
Last updated 12/29/2014 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • IA License # R-7693
  • ID License # M-11276
  • ID Medicaid 1952478703
  • ID Other P00983738 MCRR
Hospital affiliation(s)
  • CASSIA REGIONAL MEDICAL CENTER - (Critical Access)
    1501 HILAND AVENUE
    BURLEY, ID 83318
  • NORTH CANYON MEDICAL CENTER - (Critical Access)
    267 NORTH CANYON DR
    GOODING, ID 83330
  • ST LUKE'S JEROME - (Critical Access)
    709 NORTH LINCOLN AVENUE
    JEROME, ID 83338
  • ST LUKES MAGIC VALLEY RMC - (Acute Care)
    801 POLE LINE ROAD WEST
    TWIN FALLS, ID 83301
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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