Organization
ST. MARY'S HOSPITAL & CLINICS, INC.
Active
Parent organization
ST. MARY'S HOSPITAL & CLINICS, INC.
Other names
SMHC Diabetes Self-Management Education, Training & Support Program
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. MARY'S HOSPITAL & CLINICS, INC.
Authorized official
LENNE BONNER (CHIEF ADMINISTRATIVE OFFICER)
(208) 476-5777
Entity
Organization
Contact information
Practice address
701 LEWISTON STREET, COTTONWOOD, ID 83522-0137
(208) 962-3267
(208) 962-2313
Mailing address
PO BOX 137, 701 LEWISTON STREET, COTTONWOOD, ID 83522-0137
(208) 962-3267
(208) 962-2313
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
ID
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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