Provider Demographics
NPI:1043031206
Name:EMERGENCY RESPONDERS HEALTH CENTER, LLC
Entity type:Organization
Organization Name:EMERGENCY RESPONDERS HEALTH CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:HILVERS
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:208-229-3742
Mailing Address - Street 1:PO BOX 44828
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83711-0828
Mailing Address - Country:US
Mailing Address - Phone:208-229-3742
Mailing Address - Fax:208-229-8450
Practice Address - Street 1:ROCK POINTE III; SUITE 1080
Practice Address - Street 2:1330 N. WASHINGTON STREET
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201
Practice Address - Country:US
Practice Address - Phone:208-229-3742
Practice Address - Fax:208-229-8450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-21
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports MedicineGroup - Multi-Specialty