Organization
ST JOSEPH HOSPITAL LLC
Active
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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