Lost Rivers District Hospital

Primary specialty

Inpatient HospiceTaxonomy code 315D00000X

Legal business name

LOST RIVERS DISTRICT HOSPITAL

Doing business as

Lost Rivers Hospice

Practice address

551 Highland Dr
Arco, ID 83213

Phone

(208) 527-8206

Fax

(208) 527-3105

NPI assigned

Aug 16, 2006

Last updated

Jan 10, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Brad Huerta

Title

Ceo

Phone

(208) 527-8206

Specialties & licenses 1

Addresses

Other names 1

• LOST RIVERS HOSPICE Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389312000000",
    "number": "1285747055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 145",
            "city": "ARCO",
            "state": "ID",
            "postal_code": "832130145",
            "telephone_number": "208-527-8206",
            "fax_number": "208-527-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 HIGHLAND DR",
            "city": "ARCO",
            "state": "ID",
            "postal_code": "83213",
            "telephone_number": "208-527-8206",
            "fax_number": "208-527-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOST RIVERS DISTRICT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2014-01-10",
        "status": "A",
        "authorized_official_last_name": "HUERTA",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-527-8206",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOST RIVERS HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey C Haskell X, MD
• Jerica Hemsley, MA
• Idaho State University
• Hal J Jardine, M.S.
• Lost River Emt
• Lost Rivers District Hospital (Lost Rivers Home Care)
• Lost Rivers District Hospital (Lost Rivers Living Center)
• Lost Rivers Emt
• Lost Rivers Hospital Pharmacy
• Lost Rivers Medical Center

• Inpatient Hospice in Arco, ID
• Providers in Arco, ID by specialty
• Inpatient Hospice in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.