NPI 1417330119
St. Luke's Canyon View
Practice location
- Address
- 228 Shoup Ave W, Twin Falls, ID 83301-5022
- Phone
- (208) 814-7900
Authorised official
- Name
- William Fullmer
- Title
- Director
- Phone
- (208) 814-7906
Registered specialties
Psychiatric Hospital Unit
Primary
Registry record
- NPI
- 1417330119
- Entity type
- Organization
- NPI issued
- 30 Jun 2015
- Record last updated
- 30 Jun 2015
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.