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Contact Information

ST. JOSEPH HOSPITAL, LLC
415 6TH ST
LEWISTON, ID83501-2431
 Phone: 208-799-5700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric Unit

273R00000X A0[7] Hospital-Psychiatric Unit
Indicates primary specialty

NPI Profile & details for ST. JOSEPH HOSPITAL, LLC

NPI # 1205975851
LBN Legal business name ST. JOSEPH HOSPITAL, LLC
Authorized official JOHNETTA TRAYLOR - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/06/2007
Last updated 06/10/2025 - About 12 months ago
Identifiers
ID Medicaid 805015100
WA Medicaid 2081804
WA Medicaid 3500097
ID Other 01347 BLUE CROSS ID MENTAL HEA
ID Other 72055 REGENCE OF ID MENTAL HEAL
WA Other 0008481 WA L&I MENTAL HEALTH
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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