Organization Active NPI

Eastern Idaho Regional Medical Center

  • General Acute Care Hospital
  • Idaho Falls, ID
National Provider Identifier
1730203845
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
ID000M3557 Issued in ID
Legal business name
EASTERN IDAHO REGIONAL MEDICAL CENTER
Practice address
10701 S 1St E
Idaho Falls, ID 83404-7770
Phone
(208) 529-9494
NPI assigned
Mar 16, 2007
Last updated
Aug 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Authorized official

Name
Dr. Thomas Ray Guyer Sr., M. D.
Title
Hyperbaric Medicine Physician
Phone
(208) 529-7955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X ID000M3557 ID Primary

Addresses

Primary practice location

10701 S 1St E
Idaho Falls, ID 83404-7770

Mailing address

10701 S 1St E
Idaho Falls, ID 83404-7770
Phone (208) 529-9494

Other identifiers 1

IdentifierTypeStateIssuer
ID000M3557OtherIDLICENSE #

National Provider Directory

National Provider Directory
Tax ID family
Eastern Idaho Critical Care9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1730203845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 S 1ST E",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047770",
            "telephone_number": "208-529-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 S 1ST E",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047770",
            "telephone_number": "208-529-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN IDAHO REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "GUYER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "HYPERBARIC MEDICINE PHYSICIAN",
        "authorized_official_telephone_number": "208-529-7955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "ID",
            "license": "ID000M3557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "ID000M3557",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 16, 2023; 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.