St. Luke's Canyon View | |
228 Shoup Ave W Twin Falls ID 83301-5022 | |
(208) 814-7900 | |
Not Available |
Full Name | St. Luke's Canyon View |
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Speciality | Psychiatric Unit |
Location | 228 Shoup Ave W, Twin Falls, Idaho |
Authorized Official Name and Position | William Fullmer (DIRECTOR) |
Authorized Official Contact | 2088147906 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
St. Luke's Canyon View 228 Shoup Ave W Twin Falls ID 83301-5022 Ph: (208) 814-7900 | St. Luke's Canyon View 228 Shoup Ave W Twin Falls ID 83301-5022 Ph: (208) 814-7900 |
NPI Number | 1417330119 |
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Provider Enumeration Date | 06/30/2015 |
Last Update Date | 06/30/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417330119 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | 33030 (Idaho) | Primary |
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