# ST BENEDICTS FAMILY MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992898605
- **Authorized official:** MR. ALAN STEVENSON (ADMINISTRATOR)
- **Authorized official phone:** (208) 324-0425

## Contact information

- **Practice address:** 414 N LINCOLN, SUITE 1, JEROME, ID 83338
- **Practice address phone:** (208) 324-0526
- **Practice address fax:** (208) 324-4809
- **Mailing address:** 709 N LINCOLN, JEROME, ID 83338
- **Mailing address phone:** (208) 324-4301
- **Mailing address fax:** (208) 324-3878

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HH174 | ID | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 08/22/2020