National Provider Identifier Database

WALTER KNOX MEMORIAL HOSPITAL
Critical Access

Contact Information

WALTER KNOX MEMORIAL HOSPITAL
1202 E LOCUST ST
EMMETT, ID  83617-2715
Phone: 208-365-3561
Fax: 208-365-4176
Website:
Specialty Taxonomy Code
* Critical Access 282NC0060X

* Indicates primary specialty

NPI Profile & details for WALTER KNOX MEMORIAL HOSPITAL

NPI Number 1063419018
Legal business name
LBN		 WALTER KNOX MEMORIAL HOSPITAL
Authorized official PAM STAMPFLI - (CFO)
Entity Organization
Organization subpart No
Enumeration date 07/06/2005
Last updated 11/07/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • ID License #: 07
  • ID Medicaid: 002811000
  • AZ Other: 109654 MEDICAID ARIZONA
  • CA Other: XHSP30645 MEDICAID CA IN PATIENT
  • CA Other: XHSP40645 MEDICAID CA OUT PATIENT
  • CO Other: 95002960 MEDICAID COLORADO
  • ID Other: 00091 BC HOSPITAL PROV #
  • ID Other: 8K446 BLUE CROSS PROFESSIONAL
  • ID Other: 002811500 MEDICAID ANESTHESIA PROV#
  • ID Other: 002811100 MEDICAID DR. PROVIDER #
  • ID Other: 805213700 MEDICAID ER ROOM PHYSICIA
  • ID Other: 002811200 MEDICAID PHARMACY PROV #
  • ID Other: 1252002 MEDICARE PROF. FEE PROV #
  • ID Other: 000010005890 REGENCE BS HOSPITAL
  • ID Other: 000010005891 REGENCE BS PROFESSIONAL
  • KY Other: 0101300227002 MEDICAID KENTUCKY
  • MT Other: 4103426 MEDICAID MONTANA

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.

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