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ST. JOSEPH HOSPITAL, LLC
NPI 1114066768
Hospice Care, Community Based in Lewiston, ID

Active since February 06, 2007
415 6TH ST, LEWISTON, ID 83501(208) 799-5200(208) 799-5554 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 23, 2025, Jul 29, 2019, Jun 22, 2017 and 1 more (4 updates tracked since 2017).

About St. Joseph Hospital, Llc NPPES

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

ST. JOSEPH HOSPITAL, LLC (NPI 1114066768) is a healthcare organization registered as a hospice care, community based in Lewiston, Idaho and active in the NPI registry since February 2007. The organization lists Johnetta Traylor, Ao, as its authorized official.

NPPES Registry Identity

NPI1114066768
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameST. JOSEPH HOSPITAL, LLC
Location Address415 6TH STLewiston, ID 83501-2431
Mailing Address680 S 4th St # Kh-3Louisville, KY 40202-2407 · (502) 596-6063
Phone(208) 799-5200
Fax(208) 799-5554
Organization SubpartNo
Authorized OfficialJohnetta TraylorAo · (502) 596-6063
Enumeration DateFebruary 6, 2007
Last NPPES UpdateJune 23, 20254 updates tracked since enumeration
NPPES CertifiedJune 23, 2025
✔ NPI 1114066768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
415 6TH ST, Lewiston, ID 83501
Open in Google Maps ↗

Other Identifiers 3

Other820204264-011ID · Champus Hospice
Medicaid805059500ID
OtherH0176ID · Blue Cross Idaho Hospice

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.

KYLE JAMES DALY CRNA
Nurse Anesthetist, Certified Registered
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 743-2511
DAVID B SOUVENIR M.D.
Internal Medicine (Infectious Disease)
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 750-7204
DR. JOHN W. HO MD
Radiology (Vascular & Interventional Radiology)
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 750-7445
SUSANNE CHOBY MD
Psychiatry & Neurology (Psychiatry)
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 799-5700
CHRISTOPHER V RICKETTS PA
Physician Assistant
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 799-5280
MS. DARCI M. GRAVES LMSW
Social Worker (Clinical)
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 799-6500
LAENNEC INPATIENT SERVICES
Internal Medicine
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 799-5522
DEBORAH SULLIVAN
Speech-Language Pathologist
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 799-6514

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 Hospital, LLC's NPI number?

The NPI number for St. Joseph Hospital, LLC is 1114066768. It was assigned to this organization in the NPPES registry on February 6, 2007.

Where is St. Joseph Hospital, LLC located?

St. Joseph Hospital, LLC is located at 415 6th St, Lewiston, ID 83501. The listed phone number is (208) 799-5200.

What is St. Joseph Hospital, LLC's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

When was this NPI record last updated?

The NPPES record for St. Joseph Hospital, LLC was last updated on June 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.