| Oneida County Hospital | |
|
220 Bannock St Malad City ID 83252-1256 | |
| (208) 766-2600 | |
| (208) 766-4258 |
| Full Name | Oneida County Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 220 Bannock St, Malad City, Idaho |
| Authorized Official Name and Position | Todd V Winder (ADMINISTRATOR) |
| Authorized Official Contact | 2087662231 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oneida County Hospital 220 Bannock St Malad City ID 83252-1256 Ph: (208) 766-2600 | Oneida County Hospital 220 Bannock St Malad City ID 83252-1256 Ph: (208) 766-2600 |
| NPI Number | 1710041785 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 03/14/2008 |
| Medicare PECOS PAC ID | 3476459108 |
|---|---|
| Medicare Enrollment ID | O20120109000377 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710041785 | NPI | - | NPPES |
| 1265482905 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 138509 (Idaho) | Primary |
Rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 220 Bannock St, Malad City, ID 83252 Phone: 208-766-2600 Fax: 208-766-4258 | |
Malad Valley Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 W 200 N, Malad City, ID 83252 Phone: 208-766-2267 Fax: 208-766-2342 |