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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
KATHY TWEEDY (BUSINESS OFFICE MANAGER)
(208) 784-1228
Entity
Organization

Contact information

Practice address
25 JACOBS GULCH RD, KELLOGG, ID 83837-2023
(208) 784-1228
(208) 786-1019
Mailing address
25 JACOBS GULCH RD, KELLOGG, ID 83837-2023
(208) 784-1228
(208) 786-1019

Taxonomy

Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary

Other

Enumeration date
07/12/2022
Last updated
07/12/2022
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