ST. MARY'S CLINICS MIDLEVEL GROUP
NPI 1568633592
Nurse Practitioner - Family in Cottonwood, ID

Active since March 18, 2008
701 LEWISTON STREET, COTTONWOOD, ID 83522(208) 962-3267(208) 962-2313 Get Directions Write a Review

NPPES record last updated: April 7, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About St. Mary's Clinics Midlevel Group NPPES

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

ST. MARY'S CLINICS MIDLEVEL GROUP (NPI 1568633592) is a healthcare organization registered as a family in Cottonwood, Idaho and active in the NPI registry since March 2008. The organization lists Theresa A Uptmor, Dir Of Business Services, as its authorized official.

NPPES Registry Identity

NPI1568633592
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameST. MARY'S HOSPITAL
Location Address701 LEWISTON STREETCottonwood, ID 83522-0565
Mailing AddressPo Box 565Cottonwood, ID 83522-0565 · (208) 962-3267 · Fax (208) 962-2313
Fax(208) 962-2313
Organization SubpartYesParent: St. Mary's Hospital Inc
Authorized OfficialTheresa A UptmorDir Of Business Services · (208) 962-2301
Enumeration DateMarch 18, 2008
Last NPPES UpdateApril 7, 2015
NPI 1568633592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
701 LEWISTON STREET, Cottonwood, ID 83522

Other Names 1

Doing Business AsSt. Mary's Clinics Midlevel Group

Other Identifiers 1

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

Other Providers at the Same Location NPPES 11

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

Physical Therapist
701 LEWISTON STREET
COTTONWOOD, ID 83522
Speech-Language Pathologist
701 LEWISTON STREET
COTTONWOOD, ID 83522
Nurse Practitioner (Family)
701 LEWISTON STREET
COTTONWOOD, ID 83522
Physical Therapist
701 LEWISTON STREET
COTTONWOOD, ID 83522
Physical Therapist
701 LEWISTON STREET
COTTONWOOD, ID 83522
Physician Assistant
701 LEWISTON STREET
COTTONWOOD, ID 83522
Nurse Practitioner (Family)
701 LEWISTON STREET
COTTONWOOD, ID 83522
Anesthesiology
701 LEWISTON STREET
COTTONWOOD, ID 83522

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. Mary's Hospital's NPI number?

The NPI number for St. Mary's Hospital is 1568633592. It was assigned to this organization in the NPPES registry on March 18, 2008. The provider is doing business as St. Mary's Clinics Midlevel Group.

Where is St. Mary's Hospital located?

St. Mary's Hospital is located at 701 Lewiston Street, Cottonwood, ID 83522. The listed phone number is (208) 962-3267.

What is St. Mary's Hospital's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for St. Mary's Hospital was last updated on April 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.