WALTER KNOX MEMORIAL HOSPITAL; NPI #1821091083

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

Indicates primary specialty

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NPI Profile & details for WALTER KNOX MEMORIAL HOSPITAL

NPI Number 1821091083

LBN Legal business name WALTER KNOX MEMORIAL HOSPITAL

Authorized official BRAD TURPEN - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/23/2005

Last updated 11/30/2019 - About 7 years ago

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 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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