NPI 1003284126

St. Joseph's Regional Medical Center

Organisation General Acute Care Hospital Lewiston, ID

Practice location

Address: 428 6th Ave, Lewiston, ID 83501-2355
Phone: (208) 799-6500
Mailing address: 415 6th St, Lewiston, ID 83501-2431

Authorised official

Name: Chivonne Mraz
Title: Outpatient Mental Health Manager
Phone: (208) 799-6500

Registered specialties

General Acute Care Hospital Primary

Hospitals Taxonomy 282N00000X Licence LMSW-34840 (ID)

Other General Acute Care Hospital providers in Idaho →

Registry record

NPI: 1003284126
Entity type: Organization
NPI issued: 5 Sep 2015
Record last updated: 5 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.