NPI 1114066768

St. Joseph Hospital, LLC

Organisation Community Based Hospice Care Agency Lewiston, ID

Practice location

Address: 415 6th St, Lewiston, ID 83501-2431
Phone: (208) 799-5200
Fax: (208) 799-5554
Mailing address: 680 S 4th St # Kh-3, Louisville, KY 40202-2407

Authorised official

Name: Johnetta Traylor
Title: Ao
Phone: (502) 596-6063

Registered specialties

Community Based Hospice Care Agency Primary

Agencies Taxonomy 251G00000X

Other Hospice Care, Community Based providers in Idaho →

Registry record

NPI: 1114066768
Entity type: Organization
NPI issued: 6 Feb 2007
Record last updated: 23 Jun 2025

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.