Organization
ST. MARY'S HOSPITAL INC
Active
Parent organization
ST. MARY'S HOSPITAL INC
Other names
St. Mary's Home Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. MARY'S HOSPITAL INC
Authorized official
MS. THERESA A UPTMOR (DIRECTOR OF BUSINESS SERVICES)
(208) 962-2301
Entity
Organization
Contact information
Practice address
701 LEWISTON ST, COTTONWOOD, ID 83522
(208) 962-3251
Mailing address
PO BOX 137, COTTONWOOD, ID 83522-0137
(208) 962-3251
(208) 962-3722
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HH177
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
804046200
—
ID
Enumeration date
07/20/2006
Last updated
04/28/2008
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