| West Valley Medical Center | |
|
1717 Arlington Ave Caldwell ID 83605-4802 | |
| (208) 459-4641 | |
| (208) 455-3717 |
| Full Name | West Valley Medical Center |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 1717 Arlington Ave, Caldwell, Idaho |
| Authorized Official Name and Position | Geoffrey T. Hill (CFO) |
| Authorized Official Contact | 2084553720 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Valley Medical Center 1717 Arlington Ave Caldwell ID 83605-4802 Ph: (208) 459-4641 | West Valley Medical Center 1717 Arlington Ave Caldwell ID 83605-4802 Ph: (208) 459-4641 |
| NPI Number | 1891732905 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 06/01/2021 |
| Certification Date | 06/01/2021 |
| Medicare PECOS PAC ID | 3971416470 |
|---|---|
| Medicare Enrollment ID | O20070806000294 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891732905 | NPI | - | NPPES |
| 0410091 | Medicaid | MT | |
| 131642800 | Other | ID | DEPT OF LABOR |
| 241100 | Medicaid | ID | |
| 027658 | Medicaid | AZ | |
| 51180 | Other | ID | BLUE SHIELD |
| XHSP33105 | Medicaid | CA | |
| HS684IP | Medicaid | AK | |
| 026237 | Medicaid | OR | |
| 3019882 | Medicaid | WA | |
| 00380 | Other | ID | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Secondary |
| 282N00000X | General Acute Care Hospital | (* (Not Available)) | Primary |
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