CCN: 134019 NPI: 1598831653 Organization

STATE HOSPITAL NORTH

300 HOSPITAL DRIVE
OROFINO, ID 835449034

Contact Information

Phone 2084764511
Fax 2084767898
Enumeration Date 2006-11-28
Last Updated 2025-05-19

Taxonomies

Code: 283Q00000X (Primary) License State: ID License: 24

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 8

cbsaActualGeographicLocation 13

providerType 03

operatingCostToChargeRatio 2.318

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 13

providerType 03

operatingCostToChargeRatio 2.318

specialPaymentIndicator