Organization
ST JOSEPH HOSPITAL LLC
Active
Other names
St. Joseph Regional Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNETTA TRAYLOR (ADMINISTRATOR)
(502) 596-6063
Entity
Organization
Contact information
Practice address
320 WARNER DR, LEWISTON, ID 83501-4441
(208) 743-3523
(833) 941-3874
Mailing address
PO BOX 94250, SEATTLE, WA 98124-6550
(208) 750-7462
(208) 750-7467
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
01/24/2026
Last updated
01/24/2026
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