NPI 1114220324

Eastern Idaho Health Services, INC

Organisation Specialist Idaho Falls, ID

Practice location

Address: 3100 Channing Way, Idaho Falls, ID 83404
Phone: (208) 529-6269
Mailing address: 3100 Channing Way, Idaho Falls, ID 83404-7533

Authorised official

Name: Doug Crabtree
Title: Ceo
Phone: (208) 529-6111

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 193400000X (ID)

Other Specialist providers in Idaho →

Registry record

NPI: 1114220324
Entity type: Organization
NPI issued: 9 Dec 2010
Record last updated: 27 Aug 2018

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.