Organization
ST. JOSEPH REGIONAL MEDICAL CENTER
Active
Parent organization
ST. JOSEPH REGIONAL MEDICAL CENTER
Other names
St. Joseph Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. JOSEPH REGIONAL MEDICAL CENTER
Authorized official
MR. TOM SAFLEY (CHIEF FINANCIAL OFFICER)
(208) 799-5696
Entity
Organization
Contact information
Practice address
415 6TH ST, LEWISTON, ID 83501-2431
(208) 743-2511
(208) 799-5528
Mailing address
415 6TH ST, LEWISTON, ID 83501-2431
(208) 799-5528
(208) 799-5528
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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