Organization
BENEWAH COMMUNITY HOSPITAL
Active
Parent organization
BENEWAH COMMUNITY HOSPITAL
Other names
St Maries Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
BENEWAH COMMUNITY HOSPITAL
Authorized official
MS. LORI MINIER (CFO)
(208) 245-7609
Entity
Organization
Contact information
Practice address
229 S 7TH ST STE 101 & 300, ST MARIES, ID 83861-1803
(208) 245-2591
(208) 245-5246
Mailing address
229 S 7TH ST, ST MARIES, ID 83861-1803
(208) 245-2591
(208) 245-5246
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/06/2005
Last updated
09/24/2024
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