St. Joseph's Regional Medical Center

NPI #1003284126 in Lewiston, Idaho

Provider Information

NPI Number
1003284126
Entity Type
Organization
Organization Name
St. Joseph's Regional Medical Center
Primary Specialty
General Acute Care Hospital
Enumeration Date
Sep 5, 2015
Last Updated
Sep 5, 2015

Practice Location

Address
428 6TH AVE
State
Idaho
ZIP Code
83501-2355
Phone
(208) 799-6500

Authorized Official

Name
MRS. CHIVONNE MRAZ, LCSW
Title
OUTPATIENT MENTAL HEALTH MANAGER
Phone
(208) 799-6500

Specialties & Taxonomy Codes

Specialty
General Acute Care Hospital

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