Organization
ST JOSEPH SNF UNIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN COLBURN (DIRECTOR OF BUSINESS SERVICES)
(208) 799-5200
Entity
Organization
Contact information
Practice address
415 6TH ST, LEWISTON, ID 83501-2431
(208) 799-5200
(208) 799-5554
Mailing address
PO BOX 816, LEWISTON, ID 83501-0816
(208) 799-5200
(208) 799-5554
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
H57
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02774
TRANSITIONAL CARE UNIT
ID
Enumeration date
11/27/2006
Last updated
03/27/2008
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