Whalio Doctors

NPI 1114112216

Southwest Idaho Advanced Care Hospital INC -A Delaware Corp-

Organisation Long Term Care Hospital Boise, ID

Practice location

Address
6651 W Franklin Rd, Boise, ID 83709
Phone
(505) 856-5300

Authorised official

Name
Claude Darby Brockette
Title
Ceo
Phone
(505) 856-5300

Registered specialties (6)

Long Term Care Hospital Primary
Hospitals Taxonomy 282E00000X
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X
Critical Care Medicine (Internal Medicine) Physician
Allopathic & Osteopathic Physicians Taxonomy 207RC0200X
Endocrinology, Diabetes & Metabolism Physician
Allopathic & Osteopathic Physicians Taxonomy 207RE0101X
Pulmonary Disease Physician
Allopathic & Osteopathic Physicians Taxonomy 207RP1001X
Medical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X

Registry record

NPI
1114112216
Entity type
Organization
NPI issued
11 Sep 2007
Record last updated
17 Aug 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.