St. Joseph Regional Medical Center

NPI #1073885349 in Lewiston, Idaho

Provider Information

NPI Number: 1073885349
Entity Type: Organization
Organization Name: St. Joseph Regional Medical Center
Subpart: Yes (part of a larger organization)
Parent Organization: ST. JOSEPH REGIONAL MEDICAL CENTER
Primary Specialty: Internal Medicine
Enumeration Date: Feb 2, 2012
Last Updated: Feb 27, 2013

Practice Location

Address: 415 6TH ST
City: Lewiston
State: Idaho
ZIP Code: 83501-2431
Phone: (208) 743-2511

Authorized Official

Name: MR. TOM SAFLEY
Title: CHIEF FINANCIAL OFFICER
Phone: (208) 799-5696

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Psychiatry & Neurology - Neurology — Neurology	2084N0400X
Internal Medicine	207R00000X	Primary

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