ST. JOSEPH REGIONAL MEDICAL CENTER (NPI# 1427198092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427198092 |
| Entity Type | Organization |
| Organization Name | ST. JOSEPH REGIONAL MEDICAL CENTER |
| Practice Address |
415 6th St Lewiston ID 83501-2431 |
| Practice Telephone | 2087432511 |
| Practice Fax Number | 2087995554 |
| Mailing Telephone | 2087432511 |
| Mailing Fax Number | 2087995554 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2012-05-07 |
| Authorized Official Name | SUSAN COLBURN (DIRECTOR OF BUSINESS SERVICES) |
| Authorized Official Telephone | 2087995200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | ID | Suppliers | |
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
ID | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 002271500 | 05 | |
| ID | REGENCE OF ID DME | 000010033840 | 01 |
| ID | BLUE CROSS OF ID DME | 8E365 | 01 |
| WA | 6009633 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689915365 | St. Joseph Regional Medical Center | Family Medicine | 415 6th St, Lewiston, ID 83501-2431 | 2013-03-06 |
| 1558637017 | St. Joseph Regional Medical Center | General Acute Care Hospital | 341 Saint Johns Way, Lewiston, ID 83501-2436 | 2012-03-29 |
| 1073885349 | St. Joseph Regional Medical Center | Family Medicine | 415 6th St, Lewiston, ID 83501-2431 | 2012-02-02 |
| 1417254095 | St. Joseph Regional Medical Center | General Acute Care Hospital | 1135 Broad St, Suite 201, Clifton, NJ 07013-3346 | 2011-02-17 |
| 1881991461 | St. Joseph Regional Medical Center | General Acute Care Hospital | 1135 Broad St, Suite 201, Clifton, NJ 07013-3346 | 2011-02-17 |
| 1376853127 | St. Joseph Regional Medical Center | Orthopaedic Surgery | 307 Saint Johns Way, Lewiston, ID 83501-2435 | 2010-10-14 |
| 1982809471 | St. Joseph Regional Medical Center | General Acute Care Hospital | 415 6th St, Lewiston, ID 83501-2431 | 2007-06-15 |
| 1396955928 | St. Joseph Regional Medical Center | General Acute Care Hospital | 415 6th St, Lewiston, ID 83501-2431 | 2007-05-23 |
| 1790816262 | St. Joseph Regional Medical Center | Psychologist | 415 6th St, Lewiston, ID 83501-2431 | 2007-03-08 |
| 1346316908 | St. Joseph Regional Medical Center | Home Health | 415 6th St, Lewiston, ID 83501-2431 | 2006-11-27 |
| Street Address |
415 6TH ST |
| City | LEWISTON |
| State | ID |
| Zip Code | 83501-2431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164414595 | William Westel Rowe | Internal Medicine | 415 6th St, Lewiston, ID 83501-2434 | 2005-08-22 |
| 1558995316 | Hospitalist Medicine Physicians of Idaho- Nampa Pllc | Emergency Medicine | 415 6th St, Lewiston, ID 83501-2431 | 2020-03-02 |
| 1003465360 | Kyle James Daly | Nurse Anesthetist, Certified Registered | 415 6th St, Lewiston, ID 83501-2431 | 2019-09-10 |
| 1184273708 | Kevin Dombey | Physician Assistant | 415 6th St, Lewiston, ID 83501-2431 | 2019-09-06 |
| 1952962813 | Andrea Bowen | Social Worker | 415 6th St, Lewiston, ID 83501-2431 | 2019-06-21 |
| 1881167609 | Christie Kytonen | Licensed Practical Nurse | 415 6th St, Lewiston, ID 83501-2431 | 2019-01-03 |
| 1295206134 | Nicholas Tieu | Physician Assistant | 415 6th St, Lewiston, ID 83501-2434 | 2018-12-17 |
| 1932670866 | Jerilyn R Bodey | Nurse Practitioner | 415 6th St, Lewiston, ID 83501 | 2018-12-17 |
| 1154800522 | Joanne Vestal | Pharmacist | 415 6th St, Lewiston, ID 83501-2434 | 2018-08-07 |
| 1174017701 | Samantha Lynn Musser | Registered Nurse | 415 6th St, Lewiston, ID 83501-2431 | 2018-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193759 | Jacqueline M Aldrich | Behavior Technician | 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 | 2020-04-20 |
| 1295228054 | Provident Foundation - Wedgewood Terrace LLC | Alzheimer Center (Dementia Center) | 2114 Vineyard Avenue, Lewiston, ID 83501 | 2018-06-07 |
| 1164945325 | Xiaofei Liu | Massage Therapist | 234 Thain Rd, Lewiston, ID 83501 | 2017-07-19 |
| 1467909879 | Sharon Thulon | Registered Nurse | 1118 F Street, Lewiston, ID 83501 | 2016-09-01 |
| 1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
| 1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
| 1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
| 1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
| 1912290388 | Staci Leanne Truby | Massage Therapist | 717 'd' Street, Lewiston, ID 83501 | 2011-05-18 |
| 1093040685 | Sharie Ann Uhlorn | Registered Nurse | 1837 Alder Court, Lewiston, ID 83501 | 2009-10-15 |
| Find all providers in zip 83501 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265543128 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 4 Gendron Dr, Unit 4, Lewiston, ME 04240-1037 | 2006-08-31 |
| 1992231799 | St Joseph Hospital LLC | Durable Medical Equipment & Medical Supplies | 1250 Idaho St, Lewiston, ID 83501-1965 | 2017-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639791734 | Performance Modalities Inc | Durable Medical Equipment & Medical Supplies | 1110 W Park Pl Ste 308, Coeur D Alene, ID 83814-2715 | 2020-05-12 |
| 1619526811 | Red Rock Medical Supply | Durable Medical Equipment & Medical Supplies | 1994 E Franklin Rd Ste 120, Meridian, ID 83642-5975 | 2019-09-10 |
| 1851677827 | The Hospice Store and Supplies | Durable Medical Equipment & Medical Supplies | 134 N 3966 E, Address 2, Rigby, ID 83442-5772 | 2011-10-22 |
| 1811206576 | Bennett Medical Services | Durable Medical Equipment & Medical Supplies | 5220 Sawyer Court, Suite D, Garden City, ID 83714 | 2010-09-29 |
| 1639407760 | Cpapnow, Inc. | Durable Medical Equipment & Medical Supplies | 1616 E Plaza Loop, Nampa, ID 83687-4931 | 2009-12-01 |
| 1326375908 | Braden Partners Lp | Durable Medical Equipment & Medical Supplies | 143 N State St Ste 5, Rigby, ID 83442-4956 | 2009-11-03 |
| 1740410380 | Sun Valley Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 21 E Maple St Ste B, Hailey, ID 83333-4900 | 2009-07-16 |
| 1043448400 | Idaho Home Health & Hospice | Durable Medical Equipment & Medical Supplies | 423 Idaho St, Gooding, ID 83330-1258 | 2009-06-24 |
| 1982844866 | Valley Medical LLC | Durable Medical Equipment & Medical Supplies | 2065 E. Fairview Ave., Meridian, ID 83642-5798 | 2009-03-04 |
| 1982879789 | Frontier Leasing Lmtd Par | Durable Medical Equipment & Medical Supplies | 353 N. 4th Avenue, Ste 205, Pocatello, ID 83201-6392 | 2008-04-23 |
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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.