MINIDOKA MEMORIAL HOSPITAL; NPI #1043387426

Contact Information

MINIDOKA MEMORIAL HOSPITAL

1308 8TH ST
SUITE 1
RUPERT, ID 83350-1530

Phone: 208-436-4322
Fax: 208-434-8675
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for MINIDOKA MEMORIAL HOSPITAL

NPI Number 1043387426

LBN Legal business name MINIDOKA MEMORIAL HOSPITAL

Authorized official THOMAS MURPHY - (ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/29/2006

Last updated 03/26/2025 - More than a year ago

Identifiers

ID	License #	MMCRHC
ID	Medicaid	M8073867
ID	Other	74146	BLUE CROSS
ID	Other	00001002451	BLUE SHIELD

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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