Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Minidoka Memorial Hospital CRNA Group

Organization Certified Registered Nurse Anesthetist · NPI 1073787784

Minidoka Memorial Hospital CRNA Group is a Certified Registered Nurse Anesthetist 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
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

Other providers in Rupert