Benewah Community Hospital
Clinic/Center, Rural Health in St Maries, ID. Organization (NPI-2).
NPI number1386632180
StatusActive
Last updated in NPPESSep 24, 2024
Details
- NPI
- 1386632180
- Entity type
- Organization (NPI-2)
- Legal business name
- Benewah Community Hospital
- Organization subpart
- Yes
- Enumeration date
- Oct 6, 2005
- Certification date
- Sep 24, 2024
- Last updated
- Sep 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR1300X | Clinic/Center, Rural Health | – | – | Yes |
| 207P00000X | Emergency Medicine | – | – | |
| 207Q00000X | Family Medicine | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | |
| 363A00000X | Physician Assistant | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Other names
- St Maries Family Medicine (Doing Business As)
Practice location
229 S 7th St Ste 101 & 300St Maries, ID 83861-1803
Phone 208-245-2591 · Fax 208-245-5246
Mailing address
229 S 7th StSt Maries, ID 83861-1803
Phone 208-245-2591 · Fax 208-245-5246
Authorized official
Lori Minier
Cfo
2082457609
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