| Syringa General Hospital District C I F | |
|
22 N Main St Kooskia ID 83539 | |
| (208) 926-4776 | |
| (208) 926-4696 |
| Full Name | Syringa General Hospital District C I F |
|---|---|
| Speciality | Clinic/Center |
| Location | 22 N Main St, Kooskia, Idaho |
| Authorized Official Name and Position | David Applewood (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2089831700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Syringa General Hospital District C I F 607 W Main St Grangeville ID 83530-1345 Ph: (208) 983-1700 | Syringa General Hospital District C I F 22 N Main St Kooskia ID 83539 Ph: (208) 926-4776 |
| NPI Number | 1497044333 |
|---|---|
| Provider Enumeration Date | 03/31/2011 |
| Last Update Date | 02/16/2025 |
| Medicare PECOS PAC ID | 6800707530 |
|---|---|
| Medicare Enrollment ID | O20110324000253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497044333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 18 (Idaho) | Primary |
Clearwater Valley School District #245 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4643 Highway 13, Kooskia, ID 83539 Phone: 208-926-4511 |