National Provider Identifier Database

WALTER KNOX MEMORIAL HOSPITAL
Rural Health

Contact Information

WALTER KNOX MEMORIAL HOSPITAL
1102 E LOCUST ST
EMMETT, ID  83617-2713
Phone: 208-365-6004
Fax: 208-365-3589
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for WALTER KNOX MEMORIAL HOSPITAL

NPI Number 1821091083
Legal business name
LBN		 WALTER KNOX MEMORIAL HOSPITAL
Authorized official BRAD TURPEN - (CEO)
Entity Organization
Organization subpart No
Enumeration date 05/23/2005
Last updated 11/30/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • ID License #: 13-8525
  • ID Medicaid: 000269700
  • ID Medicaid: 002563400
  • ID Medicaid: 002563800
  • ID Medicaid: 805187500
  • ID Medicaid: 806367900
  • ID Medicaid: 807437800
  • Other: 138525 UNSPECIFIED
  • ID Other: 8E001 BLUE CROSS OF IDAHO GROUP
  • ID Other: 138525 MEDICARE PTAN
  • ID Other: 000010006204 REGENCE BLUE SH OF ID GRP
  • ID Other: 13-8525 RURAL HEALTH CLINIC PTAN

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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