Mountain View Hospital LLC

Organization Active NPI Family Medicine Physician · Rexburg, ID

NPI 1659914802 · NPPES record last updated Oct 21, 2019

Key facts

NPI
1659914802
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
MOUNTAIN VIEW HOSPITAL LLC
Practice address
72 E Main St
Rexburg, ID 83440-1926
Phone
(208) 359-1770
Fax
(208) 359-1780
NPI assigned
Oct 21, 2019
Organization subpart
No

Authorized official

Name
Ned W Hillyard
Title
Cco
Phone
(208) 709-4571

Corporate family (same tax ID) 9

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

National Provider Directory

Tax ID family
Idaho Falls Pulmonary (10 organizations share this tax ID)

Locations

167 E 1st S
Rigby, ID 83442
Phone (208) 745-8747

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

72 E Main St
Rexburg, ID 83440-1926

Mailing address

2325 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 557-2700

Other practice location 1

167 E 1st S
Rigby, ID 83442-1401
Phone (208) 745-8747

Other providers in Rexburg, ID

All providers in Rexburg, ID · Family Medicine Physician in Idaho

Sources for this page

Verify at the official NPI Registry.