WALTER KNOX MEMORIAL HOSPITAL; NPI #1063419018

Contact Information

WALTER KNOX MEMORIAL HOSPITAL

1202 E LOCUST ST
EMMETT, ID 83617-2715

Phone: 208-365-3561
Fax: 208-365-4176
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Critical Access	282NC0060X	A0[7]	Critical Access Hospital

Indicates primary specialty

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NPI Profile & details for WALTER KNOX MEMORIAL HOSPITAL

NPI Number 1063419018

LBN Legal business name WALTER KNOX MEMORIAL HOSPITAL

Authorized official PAM STAMPFLI - (CFO)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/06/2005

Last updated 11/07/2019 - About 7 years ago

Identifiers

ID	License #	07
ID	Medicaid	002811000
AZ	Other	109654	MEDICAID ARIZONA
CA	Other	XHSP30645	MEDICAID CA IN PATIENT
CA	Other	XHSP40645	MEDICAID CA OUT PATIENT
CO	Other	95002960	MEDICAID COLORADO
ID	Other	00091	BC HOSPITAL PROV #
ID	Other	8K446	BLUE CROSS PROFESSIONAL
ID	Other	002811500	MEDICAID ANESTHESIA PROV#
ID	Other	002811100	MEDICAID DR. PROVIDER #
ID	Other	805213700	MEDICAID ER ROOM PHYSICIA
ID	Other	002811200	MEDICAID PHARMACY PROV #
ID	Other	1252002	MEDICARE PROF. FEE PROV #
ID	Other	000010005890	REGENCE BS HOSPITAL
ID	Other	000010005891	REGENCE BS PROFESSIONAL
KY	Other	0101300227002	MEDICAID KENTUCKY
MT	Other	4103426	MEDICAID MONTANA

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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