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ST. JOSEPH REGIONAL MEDICAL CENTER NPI 1790816262


NPI Information

NPI: 1790816262
Provider Name: ST. JOSEPH REGIONAL MEDICAL CENTER

Other Name: ST. JOSEPH REGIONAL MEDICAL CENTER PHYSICIANS

Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
415 6TH ST
LEWISTON, ID
ZIP 83501
Phone: (208) 743-2511
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ST. JOSEPH REGIONAL MEDICAL CENTER is an emergency medicine in Lewiston, ID. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. ST. JOSEPH REGIONAL MEDICAL CENTER NPI is 1790816262. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is St. Joseph Regional Medical Center Physicians.

The provider's business location address is:

415 6TH ST
LEWISTON, ID
ZIP 83501-431
Phone: (208) 743-2511
Fax: (208) 799-5554

The provider's authorized official is Susan Colburn .
The authorized official title is Director Of Business Services and has the following contact phone number (208) 799-5200.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 11/5/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologistIDAHONo
2207RH0003XInternal MedicineHematology & OncologyIDAHONo
32084P0800XPsychiatry & NeurologyPsychiatryIDAHONo
4363A00000XPhysician AssistantIDAHONo
5363L00000XNurse PractitionerIDAHONo
6364S00000XClinical Nurse SpecialistIDAHONo
7207P00000XEmergency MedicineIDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18C576OTHERIDAHOBLUE CROSS OF IDAHO
2000010005405OTHERIDAHOREGENCE OF IDAHO
3000010005407OTHERIDAHOREGENCE OF IDAHO
4GAB38690MEDICARE ID-TYPE UNSPECIFIEDWASHINGTONNORIDIAN MEDICARE
51252800MEDICARE ID-TYPE UNSPECIFIEDIDAHOCIGNA MEDICARE
61252802MEDICARE ID-TYPE UNSPECIFIEDIDAHOCIGNA MEDICARE
77045891MEDICAIDWASHINGTON
88K552OTHERIDAHOBLUE CROSS OF IDAHO
97046279MEDICAIDWASHINGTON
10000010005404OTHERIDAHOREGENCE OF IDAHO
11CN9907MEDICARE PIN
127046543MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.