| Northwest Specialty Hospital | |
|
1593 E Polston Ave Post Falls ID 83854-5326 | |
| (208) 262-2300 | |
| (208) 262-2390 |
| Full Name | Northwest Specialty Hospital |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 1593 E Polston Ave, Post Falls, Idaho |
| Authorized Official Name and Position | Rick S Rasmussen (CEO) |
| Authorized Official Contact | 2082622320 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Specialty Hospital 1593 E Polston Ave Post Falls ID 83854-5326 Ph: (208) 262-2300 | Northwest Specialty Hospital 1593 E Polston Ave Post Falls ID 83854-5326 Ph: (208) 262-2300 |
| NPI Number | 1104824739 |
|---|---|
| Provider Enumeration Date | 07/08/2005 |
| Last Update Date | 03/05/2024 |
| Medicare PECOS PAC ID | 0840101218 |
|---|---|
| Medicare Enrollment ID | O20030826000037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104824739 | NPI | - | NPPES |
| 1104824739 | Medicaid | ID | |
| 00471 | Other | ID | BLUE CROSS OF IDAHO |
| 000010145102 | Other | ID | REGENCE BLUE SHIELD |
| 0179400 | Other | WASHINGTON WORKER COMP | |
| 1006277 | Other | ID | STATE INSURANCE FUND |
| 23166 | Other | GROUP HEALTH | |
| 823016 | Other | FIRST HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 282N00000X | General Acute Care Hospital | 65 (Idaho) | Primary |
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