NPIMap

Organization Active NPI

Eastern Idaho Health Services, Inc

Doing business as Eastern Idaho Critical Care

  • Critical Care Medicine (Internal Medicine) Physician
  • Idaho Falls, ID
National Provider Identifier
1316185903
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
Legal business name
EASTERN IDAHO HEALTH SERVICES, INC
Doing business as
Eastern Idaho Critical Care
Practice address
3100 Channing Way
Idaho Falls, ID 83404
Phone
(208) 529-6111
NPI assigned
Feb 4, 2009
Last updated
Aug 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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

Authorized official

Name
Doug Crabtree
Title
Ceo
Phone
(202) 529-6111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0200X Primary

Addresses

Primary practice location

3100 Channing Way
Idaho Falls, ID 83404

Mailing address

820 Evergreen Ave
Pittsburgh, PA 15209-2257
Phone (800) 655-2656

Other names 1

  • Eastern Idaho Critical Care Doing business as

National Provider Directory

National Provider Directory

Locations

820 Evergreen Ave
Pittsburgh, PA 15209
Phone (412) 822-7290

NPI Registry JSON

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535328000000",
    "number": "1316185903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 EVERGREEN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152092257",
            "telephone_number": "800-655-2656",
            "fax_number": "412-822-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CHANNING WAY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "83404",
            "telephone_number": "208-529-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN IDAHO HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2018-08-27",
        "status": "A",
        "authorized_official_last_name": "CRABTREE",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-529-6111"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastern Idaho Critical Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eastern Idaho Critical Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.