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FIFTH AVENUE CLINIC
NPI 1922037530
Clinic/Center - Multi-Specialty in Jerome, ID

Active since July 03, 2006
115 5TH AVE W, JEROME, ID 83338(208) 324-8831(208) 324-6678 Get Directions Write a Review

NPPES record last updated: May 8, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fifth Avenue Clinic NPPES

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

FIFTH AVENUE CLINIC (NPI 1922037530) is a healthcare organization registered as a multi-specialty in Jerome, Idaho and active in the NPI registry since July 2006. The organization lists Warren Alan Stevenson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1922037530
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameST BENEDICTS FAMILY MEDICAL CENTER
Location Address115 5TH AVE WJerome, ID 83338-1824
Mailing Address115 5th Ave WJerome, ID 83338-1824 · (208) 324-8831 · Fax (208) 324-6678
Phone(208) 324-8831
Fax(208) 324-6678
Organization SubpartNo
Authorized OfficialWarren Alan StevensonCeo · (208) 324-1122
Enumeration DateJuly 3, 2006
Last NPPES UpdateMay 8, 2008
✔ NPI 1922037530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
115 5TH AVE W, Jerome, ID 83338
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Other Names 1

Doing Business AsFifth Avenue Clinic

Other Identifiers 5

Other000010006293ID · Regence Blue Shield Of Id
Other8A489ID · Blue Cross Of Idaho
Medicare ID-Type Unspecified1252601ID · Clinic
Medicaid002287100ID
Medicaid807893400ID

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 Benedicts Family Medical Center's NPI number?

The NPI number for St Benedicts Family Medical Center is 1922037530. It was assigned to this organization in the NPPES registry on July 3, 2006. The provider is doing business as Fifth Avenue Clinic.

Where is St Benedicts Family Medical Center located?

St Benedicts Family Medical Center is located at 115 5th Ave W, Jerome, ID 83338. The listed phone number is (208) 324-8831.

What is St Benedicts Family Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for St Benedicts Family Medical Center was last updated on May 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.