EASTERN IDAHO CRITICAL CARE – NPI #1316185903
Internal Medicine

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Health Care Provider Taxonomy Code for Internal Medicine

EASTERN IDAHO CRITICAL CARE is a provider located in IDAHO FALLS, ID. NPPES has assigned the NPI number 1316185903 to EASTERN IDAHO CRITICAL CARE on February 04, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EASTERN IDAHO CRITICAL CARE” is a dba name, the actual legal business name for this organization is EASTERN IDAHO HEALTH SERVICES, INC. The primary taxonomy selected by this provider is 207RC0200X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Critical Care Medicine

The NPI profile was previously updated about 8 years ago on Aug 27, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EASTERN IDAHO CRITICAL CARE below.

NPI Profile for
EASTERN IDAHO HEALTH SERVICES, INC

NPI Number
1316185903
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EASTERN IDAHO HEALTH SERVICES, INC
Doing Business As (dba): EASTERN IDAHO CRITICAL CARE
Primary location
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Phone: (208) 529-6111 Fax:
Mailing address
820 EVERGREEN AVE
PITTSBURGH, PA 15209-2257
Phone: (800) 655-2656 Fax: (412) 822-7411
Organization Subpart
No
Authorized Official
DOUG CRABTREE
CEO
Phone: (202) 529-6111
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0200X
- Internal Medicine / Critical Care Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.