ST. JOSEPH MEDICAL GROUP
NPI 1073885349
Internal Medicine in Lewiston, ID

Active since February 02, 2012CLIA 13D0669585 · Waiver
415 6TH ST, LEWISTON, ID 83501(208) 743-2511(208) 799-5528 Get Directions Write a Review

NPPES record last updated: February 27, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About St. Joseph Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. JOSEPH MEDICAL GROUP (NPI 1073885349) is a healthcare organization registered as an internal medicine in Lewiston, Idaho and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through April 14, 2027 and lists Tom Safley, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1073885349
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameST. JOSEPH REGIONAL MEDICAL CENTER
Location Address415 6TH STLewiston, ID 83501-2431
Mailing Address415 6th StLewiston, ID 83501-2431 · (208) 743-2511 · Fax (208) 799-5528
Fax(208) 799-5528
Organization SubpartYes
Authorized OfficialTom SafleyChief Financial Officer · (208) 799-5696
Enumeration DateFebruary 2, 2012
Last NPPES UpdateFebruary 27, 2013
NPI 1073885349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
415 6TH ST, Lewiston, ID 83501

Other Names 1

Doing Business AsSt. Joseph Medical Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D0669585

St Joseph Medical Group-Southway Clinic · Lewiston, ID
Active · expires Apr 14, 2027
CLIA Number13D0669585
Laboratory TypePhysician Office
Certificate Effective DateApril 15, 2025
Certificate Expiration DateApril 14, 2027
Laboratory DirectorChuck R. Colas
Laboratory Phone(208) 750-7225
Laboratory LocationSt Joseph Medical Group-Southway Clinic222 Southway Ave, Lewiston, ID 83501
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
415 6TH ST
LEWISTON, ID 83501
Internal Medicine (Infectious Disease)
415 6TH ST
LEWISTON, ID 83501
Radiology (Vascular & Interventional Radiology)
415 6TH ST
LEWISTON, ID 83501
Psychiatry & Neurology (Psychiatry)
415 6TH ST
LEWISTON, ID 83501
Physician Assistant
415 6TH ST
LEWISTON, ID 83501
Social Worker (Clinical)
415 6TH ST
LEWISTON, ID 83501
Internal Medicine
415 6TH ST
LEWISTON, ID 83501
Speech-Language Pathologist
415 6TH ST
LEWISTON, ID 83501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. Joseph Regional Medical Center's NPI number?

The NPI number for St. Joseph Regional Medical Center is 1073885349. It was assigned to this organization in the NPPES registry on February 2, 2012. The provider is doing business as St. Joseph Medical Group.

Where is St. Joseph Regional Medical Center located?

St. Joseph Regional Medical Center is located at 415 6th St, Lewiston, ID 83501. The listed phone number is (208) 743-2511.

What is St. Joseph Regional Medical Center's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does St. Joseph Regional Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D0669585) is associated with this NPI, valid through April 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for St. Joseph Regional Medical Center was last updated on February 27, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.