ST BENEDICTS FAMILY MEDICAL CENTER; NPI #1073559993

Contact Information

ST BENEDICTS FAMILY MEDICAL CENTER

280 W MAIN ST
WENDELL, ID 83355-5201

Phone: 208-563-6663
Fax: 208-536-5182
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for ST BENEDICTS FAMILY MEDICAL CENTER

NPI Number 1073559993

LBN Legal business name ST BENEDICTS FAMILY MEDICAL CENTER

Authorized official CURTIS MAIER - (COO)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/20/2006

Last updated 04/20/2008 - About 18 years ago

Identifiers

ID	Other	8G882	BLUE CROSS OF IDAHO
ID	Other	000010142896	REGENCE BLUE SHIELD OF ID

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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