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Organization
ST. JOSEPH HOSPITAL LLC
Active
Organization
ST. JOSEPH HOSPITAL LLC
Active
Other names
St. Joseph Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNETTA TRAYLOR (DIR LICENSE AND CERTIFICATION)
(502) 596-6063
Entity
Organization
Contact information
Practice address
415 6TH ST, LEWISTON, ID 83501-2431
(208) 743-2511
(208) 799-5554
Mailing address
680 S 4TH ST, LICENSE AND CERTIFICATION, LOUSIVILLE, KY 40202
(502) 212-8481
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
09
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010005406
REGENCE OF IDAHO HOSPITAL
ID
01
—
00190
BLUE CROSS OF IDAHO
ID
05
—
002270900
—
ID
05
—
2081817
—
WA
05
—
3343407
—
WA
05
—
805015100
—
ID
Enumeration date
04/06/2006
Last updated
07/27/2026
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