MINIDOKA MEMORIAL HOSPITAL CRNA GROUP
NPI 1073787784
Nurse Anesthetist, Certified Registered in Rupert, ID

Active since April 15, 2008
1224 8TH ST, RUPERT, ID 83350(208) 436-0481(208) 434-8675 Get Directions Write a Review

NPPES record last updated: October 3, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Minidoka Memorial Hospital Crna Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINIDOKA MEMORIAL HOSPITAL CRNA GROUP (NPI 1073787784) is a healthcare organization registered as a nurse anesthetist, certified registered in Rupert, Idaho and active in the NPI registry since April 2008. The organization lists Carl Hansen, Administrator, as its authorized official.

NPPES Registry Identity

NPI1073787784
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameMINIDOKA MEMORIAL HOSPITAL CRNA GROUP
Location Address1224 8TH STRupert, ID 83350-1527
Mailing Address1224 8th StRupert, ID 83350-1527 · (208) 436-0481 · Fax (208) 434-8675
Fax(208) 434-8675
Organization SubpartYesParent: Minidoka Memorial Hospital
Authorized OfficialCarl HansenAdministrator · (208) 436-0481
Enumeration DateApril 15, 2008
Last NPPES UpdateOctober 3, 2011
NPI 1073787784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

1224 8TH ST, Rupert, ID 83350

Other Identifiers 4

Other00166Blue Cross Of Idaho
Other002336000Blue Shield
MedicaidM8068633ID
Medicare PIN1602964

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1224 8TH ST
RUPERT, ID 83350
Physical Therapist
1224 8TH ST, SUITE A
RUPERT, ID 83350
Physical Therapist
1224 8TH ST, SUITE A
RUPERT, ID 83350
Physical Therapist
1224 8TH ST, SUITE A
RUPERT, ID 83350
Dietitian, Registered
1224 8TH ST
RUPERT, ID 83350
Ambulance (Land Transport)
1224 8TH ST
RUPERT, ID 83350
Skilled Nursing Facility
1224 8TH ST
RUPERT, ID 83350
Nurse Anesthetist, Certified Registered
1224 8TH ST
RUPERT, ID 83350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Minidoka Memorial Hospital Crna Group's NPI number?

The NPI number for Minidoka Memorial Hospital Crna Group is 1073787784. It was assigned to this organization in the NPPES registry on April 15, 2008.

Where is Minidoka Memorial Hospital Crna Group located?

Minidoka Memorial Hospital Crna Group is located at 1224 8th St, Rupert, ID 83350. The listed phone number is (208) 436-0481.

What is Minidoka Memorial Hospital Crna Group's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Minidoka Memorial Hospital Crna Group was last updated on October 3, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.