ST. BENEDICTS FAMILY MEDICAL CENTER (NPI# 1639211634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639211634 |
| Entity Type | Organization |
| Organization Name | ST. BENEDICTS FAMILY MEDICAL CENTER |
| Practice Address |
709 N Lincoln Ave Jerome ID 83338-1851 |
| Practice Telephone | 2083244301 |
| Practice Fax Number | 2083247815 |
| Mailing Telephone | 2083244301 |
| Mailing Fax Number | 2083247815 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BRUCE ALAN BARNES (PHARMACY DIRECTOR) |
| Authorized Official Telephone | 2083244301 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | 366HP | ID | Hospitals |
| Street Address |
709 N LINCOLN AVE |
| City | JEROME |
| State | ID |
| Zip Code | 83338-1851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336138783 | Brian Lee Johnson | Family Medicine | 709 N Lincoln Ave, Jerome, ID 83338-1851 | 2005-10-18 |
| 1609414051 | Troy M Jackman | Pharmacist | 709 N Lincoln Ave, Jerome, ID 83338-1851 | 2019-12-17 |
| 1891165569 | Anne B Fullmer | Nurse Practitioner | 709 N Lincoln Ave, Jerome, ID 83338-1851 | 2015-10-06 |
| 1366874877 | St Luke's Magic Valley Regional Medical Center Ltd | General Acute Care Hospital | 709 N Lincoln Ave, Jerome, ID 83338-1851 | 2013-08-07 |
| 1730511254 | St Lukes Magic Valley Regional Medical Center Ltd | Medicare Defined Swing Bed Unit | 709 N Lincoln Ave, Jerome, ID 83338-1851 | 2013-08-07 |
| 1912137175 | Paul A Dickinson | Nurse Anesthetist, Certified Registered | 709 N Lincoln Ave, Jerome, ID 83338-1851 | 2009-07-22 |
| 1700053774 | St Benedicts Fmc Physician Assistants | Physician Assistant | 709 N Lincoln Ave, Jerome, ID 83338-1851 | 2008-05-09 |
| 1083833933 | Thomas Henry Zepeda | Personal Emergency Response Attendant | 709 N Lincoln Ave, Jerome, ID 83338-1851 | 2007-04-25 |
| 1750489647 | Richard Emery Lally | Emergency Medicine | 709 N Lincoln Ave, Jerome, ID 83338-1851 | 2006-09-21 |
| 1902856727 | St Benedicts Family Medical Center | Skilled Nursing Facility | 709 N Lincoln Ave, Jerome, ID 83338-1851 | 2006-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336709 | Family Health Services Pharmacy | Pharmacy | 218 W. Nez Perce, Jerome, ID 83338 | 2020-11-03 |
| 1811391626 | Summit Therapy Services | In Home Supportive Care | 113 East Ave. F, Jerome, ID 83338 | 2014-10-22 |
| 1952645285 | Readings Community Pharmacy Inc | Pharmacy | 133 West A, Jerome, ID 83338 | 2012-11-27 |
| 1801121298 | Yolanda S. Sedano | Physician Assistant | 132 5th Ave West, Jerome, ID 83338 | 2009-10-02 |
| 1295898310 | Ronald Gail Hendrickson | Dentist | 128 South Adams, Jerome, ID 83338 | 2006-12-19 |
| 1316035512 | Johnson Chiropractic Clinic | Chiropractor | 600 N Lincoln Ave, Jerome, ID 83338 | 2006-10-11 |
| 1265527725 | Lon M. Egbert, P.C. | Specialist/Technologist | 128 5th Ave West, Jerome, ID 83338 | 2006-10-03 |
| 1992898605 | St Benedicts Family Medical Center | Home Health | 414 N Lincoln, Suite 1, Jerome, ID 83338 | 2006-10-02 |
| 1790231355 | Lexa Marie Balling | Pharmacist | 2680 S Lincoln Ave, Jerome, ID 83338 | 2016-09-01 |
| 1922037530 | St Benedicts Family Medical Center | Clinic/Center | 115 5th Ave W, Jerome, ID 83338-1824 | 2006-07-03 |
| Find all providers in zip 83338 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023079092 | Northern Idaho Advanced Care Hospital Inc | Long Term Care Hospital | 600 N Cecil Rd, Post Falls, ID 83854-6200 | 2006-03-30 |
| 1639514094 | Vibra Hospital of Boise LLC | Long Term Care Hospital | 6651 W Franklin Rd, Boise, ID 83709-0914 | 2013-04-30 |
| 1245371863 | St Lukes Regional Medical Center | Long Term Care Hospital | 895 N 6th E, Mtn Home, ID 83647-2207 | 2007-02-08 |
Please comment or provide details below to improve the information on ST. BENEDICTS FAMILY MEDICAL CENTER.
| 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.