1669493417 NPI number — ST. MARY'S HOSPITAL

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669493417 NPI number — ST. MARY'S HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ST. MARY'S HOSPITAL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1669493417
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/07/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 137
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COTTONWOOD
Provider Business Mailing Address State Name:
ID
Provider Business Mailing Address Postal Code:
83522-0137
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
208-962-2301
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
701 LEWISTON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COTTONWOOD
Provider Business Practice Location Address State Name:
ID
Provider Business Practice Location Address Postal Code:
83522
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
208-962-3251
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/21/2006

Additional Information

Authorized Official

Authorized Official Last Name:
UPTMOR
Authorized Official First Name:
THERESA
Authorized Official Middle Name:
A
Authorized Official Title or Position:
ASSISTANT TO CFO
Authorized Official Telephone Number:
208-962-2301

Provider Taxonomy Codes

  • Taxonomy code: 275N00000X , with the licence number:  33 , registered in the state of ID ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 002286100 , issued by the state of ( ID ) . This identifiers is of the category "MEDICAID".




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