WALTER KNOX MEMORIAL HOSPITAL (NPI# 1063419018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063419018 |
| Entity Type | Organization |
| Organization Name | WALTER KNOX MEMORIAL HOSPITAL |
| Other Organization Name | VALOR HEALTH |
| Practice Address |
1202 E Locust St Emmett ID 83617-2715 |
| Practice Telephone | 2083653561 |
| Practice Fax Number | 2083654176 |
| Mailing Telephone | 2083653561 |
| Mailing Fax Number | 2083654176 |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2019-11-07 |
| Authorized Official Name | PAM STAMPFLI (CFO) |
| Authorized Official Telephone | 2089013213 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
07 | ID | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BC HOSPITAL PROV # | 00091 | 01 |
| MT | MEDICAID MONTANA | 4103426 | 01 |
| ID | BLUE CROSS PROFESSIONAL | 8K446 | 01 |
| ID | MEDICAID PHARMACY PROV # | 002811200 | 01 |
| ID | MEDICARE PROF. FEE PROV # | 1252002 | 01 |
| ID | MEDICAID ER ROOM PHYSICIA | 805213700 | 01 |
| CA | MEDICAID CA OUT PATIENT | XHSP40645 | 01 |
| ID | MEDICAID ANESTHESIA PROV# | 002811500 | 01 |
| AZ | MEDICAID ARIZONA | 109654 | 01 |
| CA | MEDICAID CA IN PATIENT | XHSP30645 | 01 |
| ID | REGENCE BS HOSPITAL | 000010005890 | 01 |
| ID | 002811000 | 05 | |
| ID | MEDICAID DR. PROVIDER # | 002811100 | 01 |
| KY | MEDICAID KENTUCKY | 0101300227002 | 01 |
| ID | REGENCE BS PROFESSIONAL | 000010005891 | 01 |
| CO | MEDICAID COLORADO | 95002960 | 01 |
| Other Name | Type Code |
|---|---|
| Valor Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821091083 | Walter Knox Memorial Hospital | Clinic/Center | 1102 E Locust St, Emmett, ID 83617-2713 | 2005-05-23 |
| 1114374055 | Walter Knox Memorial Hospital | Clinic/Center | 119 N Wardwell Ave, Emmett, ID 83617-3040 | 2016-05-20 |
| 1295193423 | Walter Knox Memorial Hospital | Clinic/Center | 119 N Wardwell Ave, Emmett, ID 83617-3040 | 2016-02-02 |
| 1326206947 | Walter Knox Memorial Hospital | Internal Medicine | 1024 E Locust St, Emmett, ID 83617-2776 | 2008-05-30 |
| 1700909983 | Walter Knox Memorial Hospital | Medicare Defined Swing Bed Unit | 1202 E Locust St, Emmett, ID 83617-2715 | 2007-04-10 |
| Street Address |
1202 E LOCUST ST |
| City | EMMETT |
| State | ID |
| Zip Code | 83617-2715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841655826 | Lisa Isaksen | Nurse Practitioner | 1202 E Locust St, Emmett, ID 83617-2715 | 2015-12-17 |
| 1760726897 | Jerod L Hines | Orthopaedic Surgery | 1202 E Locust St, Emmett, ID 83617-2715 | 2012-11-15 |
| 1457641342 | Cory Ondler | Emergency Medicine | 1202 E Locust St, Emmett, ID 83617-2715 | 2011-04-12 |
| 1366741019 | Debra Anne Phillips | Nurse Practitioner | 1202 E Locust St, Emmett, ID 83617-2715 | 2011-03-21 |
| 1700909983 | Walter Knox Memorial Hospital | Medicare Defined Swing Bed Unit | 1202 E Locust St, Emmett, ID 83617-2715 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375659 | Jonathan Barrus Do PC | Family Medicine | 2020 S Johns Avenue, Emmett, ID 83617 | 2020-10-29 |
| 1679039135 | Hollis Family Pharmacy LLC | Pharmacy | 845 S Substation Rd, Emmett, ID 83617 | 2019-02-20 |
| 1699248054 | Lisa Southard | Social Worker | 825 S. Washington Avenue, Emmett, ID 83617 | 2019-01-09 |
| 1396069712 | Kelsey Peterson | Dentist | 1312 South Washington Street, Emmett, ID 83617 | 2010-03-15 |
| 1598907073 | Bimart Corporation | Durable Medical Equipment & Medical Supplies | 179 West Highway 52, Emmett, ID 83617 | 2009-03-31 |
| 1548401169 | Cynthia K. Rokey | Massage Therapist | 3777 S. Johns Ave, Emmett, ID 83617 | 2009-03-11 |
| 1407984966 | Jill Janay Sprague | Counselor | 113 N Commercial, Emmett, ID 83617 | 2007-02-28 |
| 1548320252 | Jo Anna Henson1 | Homemaker | 2020 Ua Ave Sp 14, Emmett, ID 83617 | 2006-12-11 |
| 1922193200 | Nancy Susanne Nickerson | Physical Therapist | 809 S Washington, Emmett, ID 83617 | 2006-10-04 |
| 1083707277 | Michael S Lee | Social Worker | 2007 S Plaza, Suite #1, Emmett, ID 83617 | 2006-10-02 |
| Find all providers in zip 83617 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851761464 | Brent Leavitt | General Acute Care Hospital | 4928 Pleasant View Dr, Chubbuck, ID 83202-1640 | 2015-09-25 |
| 1053669598 | Teton Valley Health Care, Inc | General Acute Care Hospital | 120 E Howard Avenue, Driggs, ID 83422-5112 | 2012-08-15 |
| 1639406267 | Florence Hospital, LLC | General Acute Care Hospital | 1300 E State St, Suite 102, Eagle, ID 83616-7059 | 2009-11-03 |
| 1912132176 | Initiatives Healthcare, LLC | General Acute Care Hospital | 1205 N 11th St, Boise, ID 83702-4102 | 2009-05-18 |
| 1417122821 | Elmore Medical Center Specialty Physician Group | General Acute Care Hospital | 890 N 6th E, Mountain Home, ID 83647-2206 | 2008-04-25 |
| 1275703241 | North Canyon Medical Center, Inc. | General Acute Care Hospital | 267 North Canyon Drive, Gooding, ID 83330-1858 | 2008-03-06 |
| 1720298102 | Weiser Valley Hospital District | General Acute Care Hospital | 645 E. 5th Street, Weiser, ID 83672-2202 | 2007-05-23 |
| 1548320435 | Benewah Community Hospital | General Acute Care Hospital | 229 South 7th St, St Maries, ID 83861 | 2006-12-11 |
| 1295769537 | Gooding County Hospital District | General Acute Care Hospital | 1120 Montana St, Gooding, ID 83330-1858 | 2006-07-11 |
| 1881641629 | Weiser Valley Hospital District | General Acute Care Hospital | 645 E. 5th St., Weiser, ID 83672-2202 | 2006-05-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.