Organization
BENEWAH COMMUNITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI L MINIER (CFO)
(208) 245-7609
Entity
Organization
Contact information
Practice address
229 S 7TH ST, ST MARIES, ID 83861-1803
(208) 245-5551
(208) 245-5246
Mailing address
229 S 7TH ST, ST MARIES, ID 83861-1803
(208) 245-5551
(208) 245-2262
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
—
—
208M00000X
Hospitalist Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
225100000X
Physical Therapist
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
282NC0060X
Critical Access Hospital
Primary
27
ID
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
12/11/2006
Last updated
01/02/2025
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