National Provider Identifier Database

MINIDOKA MEMORIAL HOSPITAL
Rural Health


Contact Information

MINIDOKA MEMORIAL HOSPITAL
1308 8TH ST
SUITE 1
RUPERT, ID83350-1530
Phone: 208-436-4322
Fax: 208-434-8675
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for MINIDOKA MEMORIAL HOSPITAL

NPI Number 1043387426
Legal business name
LBN
MINIDOKA MEMORIAL HOSPITAL
Authorized official THOMAS MURPHY - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 11/29/2006
Last updated 03/26/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • ID License #: MMCRHC
  • ID Medicaid: M8073867
  • ID Other: 74146 BLUE CROSS
  • ID Other: 00001002451 BLUE SHIELD

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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