ST. MARY'S HEALTH - NPI 1174577100 - Family Medicine in Cottonwood, ID

Q: What is St. Mary's Hospital, Inc.'s NPI number?

The NPI number for St. Mary's Hospital, Inc. is 1174577100. It was assigned to this organization in the NPPES registry on May 22, 2006. The provider is doing business as St. Mary's Health.

Q: What is St. Mary's Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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About St. Mary's Health NPPES

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

ST. MARY'S HEALTH (NPI 1174577100) is a healthcare organization registered as a family medicine in Cottonwood, Idaho and active in the NPI registry since May 2006. The organization lists Lenne Bonner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174577100

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameST. MARY'S HOSPITAL, INC.

Location Address701 LEWISTON STCottonwood, ID 83522-9750

Mailing Address2003 Kootenai Health WayCoeur D Alene, ID 83814-6051 · (208) 625-5085 · Fax (208) 625-5731

Phone(208) 962-3267

Fax(208) 962-2313

Organization SubpartNo

Authorized OfficialLenne BonnerCeo · (208) 476-4555

Enumeration DateMay 22, 2006

Last NPPES UpdateJanuary 27, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 27, 2022

✔ NPI 1174577100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedNurse PractitionerTaxonomy 363L00000X

701 LEWISTON ST, Cottonwood, ID 83522

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Other Names 1

Doing Business AsSt. Mary's Health

Other Identifiers 2

Medicaid002283500ID

Medicaid805066400ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

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.

MS. BERNADETTE JAMIE RUNDHAUG MED

Counselor (Professional)