# ST. JOSEPH HOSPITAL, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ST. JOSEPH HOSPITAL, LLC
- **Other names:** St. Joseph Regional Medical Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1629783295
- **Legal business name:** ST. JOSEPH HOSPITAL, LLC
- **Authorized official:** JOHNETTA TRAYLOR PESC (DIRECTOR)
- **Authorized official phone:** (502) 596-6063

## Contact information

- **Practice address:** 415 6TH ST, LEWISTON, ID 83501-2431
- **Practice address phone:** (208) 743-2511
- **Mailing address:** 680 S 4TH ST, LOUISVILLE, KY 40202-2407
- **Mailing address phone:** (502) 596-7300
- **Mailing address fax:** (502) 212-8481

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | — | NULL | Yes |

## Other

- **Enumeration date:** 01/18/2023
- **Last updated:** 06/10/2025