NPI 1194031286

Oak Creek Rehabilitation Center of Kimberly LLC

Organisation Skilled Nursing Facility Kimberly, ID

Practice location

Address: 500 Polk St E, Kimberly, ID 83341-1618
Phone: (208) 423-5591
Fax: (208) 423-5651
Mailing address: 275 S 5th Ave Lower Level, Pocatello, ID 83201-6400

Authorised official

Name: James B Everton
Title: Ceo
Phone: (208) 233-4673

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 17 (ID)

Other Skilled Nursing Facility providers in Idaho →

Registry record

NPI: 1194031286
Entity type: Organization
NPI issued: 26 Aug 2010
Record last updated: 26 Aug 2010

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.