Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Minidoka Memorial Hospital CRNA Group

Organization Certified Registered Nurse Anesthetist · NPI 1073787784

Minidoka Memorial Hospital CRNA Group provides Certified Registered Nurse Anesthetist services in Rupert, Idaho. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

1224 8th St
Rupert, ID 83350-1527 Not confirmed with CMS for 15 years — call before visiting
Phone: (208) 436-0481
Fax: (208) 434-8675
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X

Record details

NPI number1073787784
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMinidoka Memorial Hospital
Authorized official Carl Hansen — Administrator · (208) 436-0481
NPI enumeratedApril 15, 2008
Last updated in NPPESOctober 3, 2011
Mailing address1224 8th St, Rupert, ID 83350-1527

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