National Provider Identifier Database

ST BENEDICTS FAMILY MEDICAL CENTER
Rural Health


Contact Information

ST BENEDICTS FAMILY MEDICAL CENTER
280 W MAIN ST
WENDELL, ID83355-5201
Phone: 208-563-6663
Fax: 208-536-5182
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for ST BENEDICTS FAMILY MEDICAL CENTER

NPI Number 1073559993
Legal business name
LBN
ST BENEDICTS FAMILY MEDICAL CENTER
Authorized official CURTIS MAIER - (COO)
Entity Organization
Organization subpart No
Enumeration date 06/20/2006
Last updated 04/20/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • ID Other: 8G882 BLUE CROSS OF IDAHO
  • ID Other: 000010142896 REGENCE BLUE SHIELD OF ID

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for ST BENEDICTS FAMILY MEDICAL CENTER

There are currently no reviews for ST BENEDICTS FAMILY MEDICAL CENTER


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