Organization
SHOSHONE MEDICAL CENTER
Active
Organization
SHOSHONE MEDICAL CENTER
Active
Parent organization
SHOSHONE MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHOSHONE MEDICAL CENTER
Authorized official
DONJA C ERDMAN (CFO)
(208) 784-4608
Entity
Organization
Contact information
Practice address
858 COMMERCE DRIVE, SMELTERVILLE, ID 83868
(208) 784-4612
(208) 786-1019
Mailing address
25 JACOBS GULCH RD, KELLOGG, ID 83837-2023
(208) 784-1226
(208) 786-1019
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/07/2020
Last updated
08/11/2026
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