Organization
ST BENEDICTS FAMILY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JILL L HOWELL RN-NHA (ASSISTANT ADMINISTRATOR)
(208) 324-0422
Entity
Organization
Contact information
Practice address
709 N LINCOLN AVE, JEROME, ID 83338-1851
(208) 324-0422
(208) 324-3878
Mailing address
709 N LINCOLN AVE, JEROME, ID 83338-1851
(208) 324-0422
(208) 324-3878
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
H8
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01339
BLUE CROSS OF IDAHO
ID
Enumeration date
05/11/2006
Last updated
08/22/2020
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