BENEWAH MEDICAL CENTER (NPI# 1366637068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366637068 |
| Entity Type | Organization |
| Organization Name | BENEWAH MEDICAL CENTER |
| Practice Address |
1115 B Street Plummer ID 83851-0388 |
| Mailing Address |
Po Box 388 Plummer ID 83851-0388 |
| Practice Telephone | 2086861931 |
| Practice Fax Number | 2086867211 |
| Mailing Telephone | 2086861931 |
| Mailing Fax Number | 2086867211 |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2007-09-06 |
| Authorized Official Name | MR. JOHN ROWLAND (FINANCIAL MANAGER) |
| Authorized Official Telephone | 2086861931 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336135136 | Benewah Medical Center | Clinic/Center | 427 N 12th St, Plummer, ID 83851 | 2005-09-27 |
| 1306948674 | Benewah Medical Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1115 B Street, Plummer, ID 83851 | 2006-09-05 |
| Street Address |
1115 B STREET |
| City | PLUMMER |
| State | ID |
| Zip Code | 83851-0388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437145554 | Paul R Grady | Dentist | 1115 B Street, Plummer, ID 83851-0388 | 2005-09-23 |
| 1528326519 | Lovinia Alexander | Counselor | 1115 B Street, Plummer, ID 83851-0388 | 2012-04-26 |
| 1568739548 | Kristi Mathistad | Counselor | 1115 B Street, Plummer, ID 83851 | 2011-11-19 |
| 1881900900 | Providence Health & Services - Washington | Internal Medicine | 1115 B Street, Plummer, ID 83851-0000 | 2010-08-26 |
| 1225244551 | Kimberley Dawn Legaspi | Dental Hygienist | 1115 B Street, Plummer, ID 83851-0388 | 2007-05-15 |
| 1760698013 | Sandra M Mcmichael | Counselor | 1115 B Street, Plummer, ID 83851-0388 | 2007-05-15 |
| 1871713198 | Carla Rae Patterson | Dietitian, Registered | 1115 B Street, Plummer, ID 83851 | 2007-04-27 |
| 1417010323 | James W Allen | Dentist | 1115 B Street, Benewah Medical Center, Plummer, ID 83851 | 2006-12-19 |
| 1558457721 | David J Ochoa | Radiologic Technologist | 1115 B Street, Benewah Medical Center, Plummer, ID 83851 | 2006-10-05 |
| 1306948674 | Benewah Medical Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1115 B Street, Plummer, ID 83851 | 2006-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326575325 | Terrin Loe | Dental Hygienist | 358-786 Long Road, Plummer, ID 83851 | 2017-05-22 |
| 1639542830 | Selene Bonnell-hall | Physical Therapy Assistant | 1100 A Street, Plummer, ID 83851 | 2015-11-10 |
| 1609245059 | Caley Jordan | Pharmacist | 427 N 12 St, Plummer, ID 83851 | 2015-09-16 |
| 1861741282 | Plummer Gateway Fire Protection | Ambulance | 609 Poleyard Rd, Plummer, ID 83851 | 2012-08-30 |
| 1497040349 | Jason Ford Chapman | General Practice | 427 N. 12th St., Plummer, ID 83851 | 2011-06-17 |
| 1861797060 | Tiffany Marie Korrer | Physical Therapy Assistant | 1100 A. Street, Plummer, ID 83851 | 2011-01-19 |
| 1710290234 | Brian Meyer | Optometrist | 427 Nth 12th St, Plummer, ID 83851 | 2010-07-26 |
| 1386884369 | James Smith | Clinical Medical Laboratory | 1115 E. St, Plummer, ID 83851 | 2009-03-03 |
| 1134378169 | Robert Samuel Davis | Physician Assistant | 427 N 12th St., Plummer, ID 83851 | 2008-09-15 |
| 1013192210 | Nikole J Mills | Nurse Practitioner | 427 N. 12th Street, Plummer, ID 83851 | 2008-01-07 |
| Find all providers in zip 83851 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1619351582 | Natural Family Health Inc. | Clinic/Center | 945 E River Spur, Priest River, ID 83856-5070 | 2015-07-10 |
| 1982026571 | Treasure Valley Family Health Care, LLC | Clinic/Center | 1055 N Echohawk Way, Eagle, ID 83616-5456 | 2014-01-16 |
| 1124303094 | N.e.x.t. Level Health Center, Inc. | Clinic/Center | 2105 Niagara, Idaho Falls, ID 83404 | 2011-10-11 |
| 1972821254 | Sohm Chiropractic Pa | Clinic/Center | 8382 W Ustick Rd, Suite 200, Boise, ID 83704-5986 | 2010-05-11 |
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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.