NPI 1417122821
Elmore Medical Center Specialty Physician Group
Practice location
- Address
- 890 N 6th E, Mountain Home, ID 83647-2206
- Phone
- (208) 587-8401
- Fax
- (208) 587-8406
- Mailing address
- PO Box 1270, Mountain Home, ID 83647-1270
Authorised official
- Name
- Mary E Janousek
- Title
- Office Manager
- Phone
- (208) 587-8401
Registered specialties
Critical Access Hospital
Primary
Registry record
- NPI
- 1417122821
- Entity type
- Organization
- NPI issued
- 25 Apr 2008
- Record last updated
- 28 May 2009
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.