NPIMap

Organization Active NPI

Syringa General Hospital District Cif

Doing business as Syringa Walk-In Clinic

  • Urgent Care Clinic/Center
  • Grangeville, ID
National Provider Identifier
1376832790
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
18 Issued in ID
Legal business name
SYRINGA GENERAL HOSPITAL DISTRICT CIF
Doing business as
Syringa Walk-In Clinic
Practice address
607 W Main St
Grangeville, ID 83530-1345
Phone
(208) 983-1700
Fax
(208) 983-2114
NPI assigned
Apr 6, 2011
Last updated
Apr 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Authorized official

Name
Betty Watson
Title
Cfo
Phone
(208) 983-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 18 ID Primary

Addresses

Primary practice location

607 W Main St
Grangeville, ID 83530-1345

Mailing address

711 W North St
Suite 2
Grangeville, ID 83530-1349
Phone (208) 983-5120

Other names 1

  • Syringa Walk-In Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Syringa General Hospital District Cif11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

711 W North St
Ste 2
Grangeville, ID 83530

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1376832790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W NORTH ST",
            "address_2": "SUITE 2",
            "city": "GRANGEVILLE",
            "state": "ID",
            "postal_code": "835301349",
            "telephone_number": "208-983-5120",
            "fax_number": "208-983-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 W MAIN ST",
            "city": "GRANGEVILLE",
            "state": "ID",
            "postal_code": "835301345",
            "telephone_number": "208-983-1700",
            "fax_number": "208-983-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYRINGA GENERAL HOSPITAL DISTRICT CIF",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "208-983-1700"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "ID",
            "license": "18",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Syringa Walk-In Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grangeville, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.