Albertsons LLC

Practice location

Address

250 S Eagle Rd, Eagle, ID 83616-5906

Phone

(208) 939-9850

Fax

(208) 939-2721

Mailing address

250 E Parkcenter Blvd Mailstop Sec2-B, Boise, ID 83706-3940

Authorised official

Name

Demond Hawkins

Title

Mgr, Host Admin & Enrollments

Phone

(208) 395-3905

Registered specialties (2)

Registry record

NPI

1508307653

Entity type

Organization

NPI issued

9 Mar 2017

Record last updated

2 May 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.