Lost Rivers District Hospital
Organization Active NPI Home Health Agency · Arco, ID
NPI 1336147149 · NPPES record last updated Aug 28, 2007
Key facts
- NPI
- 1336147149
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- HH-220 (ID)
- Legal business name
- LOST RIVERS DISTRICT HOSPITAL
- Practice address
- 551 Highland Dr
Arco, ID 83213-9771 - Phone
- (208) 527-8206
- Fax
- (208) 527-3430
- NPI assigned
- Jul 14, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Kim Dahlman
- Title
- Ceo
- Phone
- (208) 527-8206
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HH-220 | ID | Yes |
Addresses
Primary practice location
551 Highland Dr
Arco, ID 83213-9771
Mailing address
PO Box 145
Arco, ID 83213-0145
Phone (208) 527-8206
Other names
- LOST RIVERS HOME CARE
Other providers in Arco, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.