ST. JOSEPH HOSPITAL, LLC; NPI #1114066768

Contact Information

ST. JOSEPH HOSPITAL, LLC

415 6TH ST
LEWISTON, ID 83501-2431

Phone: 208-799-5200
Fax: 208-799-5554
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Hospice Care, Community Based	251G00000X	B4[14]	Hospice

Indicates primary specialty

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NPI Profile & details for ST. JOSEPH HOSPITAL, LLC

NPI Number 1114066768

LBN Legal business name ST. JOSEPH HOSPITAL, LLC

Authorized official JOHNETTA TRAYLOR - (AO)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/06/2007

Last updated 06/23/2025 - About 12 months ago

Identifiers

ID	Medicaid	805059500
ID	Other	H0176	BLUE CROSS IDAHO HOSPICE
ID	Other	820204264-011	CHAMPUS HOSPICE

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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ST. JOSEPH HOSPITAL, LLC

Contact Information

Specialty

Hospice Care, Community Based

NPI Profile & details for ST. JOSEPH HOSPITAL, LLC

Reviews for ST. JOSEPH HOSPITAL, LLC