Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EASTERN IDAHO REG MED CTR PS, LLC
Active OrganizationEASTERN IDAHO REG MED CTR PS, LLC is a Gynecologic Oncology organization located in IDAHO FALLS, Idaho. NPI 1053352427 is currently active in the NPPES registry. Verify at CMS.
Gynecologic Oncology · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1053352427
- Provider Type
- Organization
- NPI Issued
- Jun 9, 2006 (20.201337782034 yrs)
- Last Updated
- Aug 28, 2007
Practice Information
- Address
-
3100 CHANNING WAYIDAHO FALLS, ID, 834047533Browse ID providers · Browse ZIP 83404
- Phone
- 2085297147
- Primary Specialty
-
Gynecologic Oncology
207VX0201X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.