Magic Valley Regional Medical Center

NPI 1194787010 - General Acute Care Hospital - 282N00000X

NPI Details
NPI 1194787010
Enumeration Date 04/05/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name NICHOLAS JOHN NICHOLAS
Position PHYSICIAN ASSISTANT
Phone (208) 737-2112
Fax
Practice Location
650 ADDISON AVE W
TWIN FALLS ID, 83301-5444, US
Phone (208) 737-2112
Fax
Business Location
2519 E 2519 N
TWIN FALLS ID, 83301, US
Phone (208) 735-1628
Fax
Toxanomy
Taxonomy Code 282N00000X
License State Idaho
License Number PA 258
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According to our database, Magic Valley Regional Medical Center NPI is 1194787010, taxonomy code is 282N00000X and license number is PA 258, license state is located at Idaho. Magic Valley Regional Medical Center physically located at 650 Addison Ave W, Twin Falls ID, 83301-5444. NPI Number 1033115704 has the healthcare provider type.

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1194787010 NPI number is provided on an as is basis without warranty of any kind. 1194787010 is maintained by the National Plan & Provider Enumeration System. The contents of Magic Valley Regional Medical Center are for informational purposes only.