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Contact Information

ST BENEDICTS FAMILY MEDICAL CENTER
414 N LINCOLN
SUITE 1
JEROME, ID83338
 Phone: 208-324-0526
 Fax: 208-324-4809
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for ST BENEDICTS FAMILY MEDICAL CENTER

NPI # 1992898605
LBN Legal business name ST BENEDICTS FAMILY MEDICAL CENTER
Authorized official ALAN STEVENSON - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/02/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
ID License # HH174
ID Medicaid 00288500
ID Other 01701 BLUE CROSS OF IDAHO
ID Other 000010033877 BLUE SHIELD OF IDAHO
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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