St. Mary's Hospital
NPI #1114151016 in Cottonwood, Idaho
Provider Information
- NPI Number
- 1114151016
- Entity Type
- Organization
- Organization Name
- St. Mary's Hospital
- Primary Specialty
- Physical Therapist
- Enumeration Date
- May 6, 2009
- Last Updated
- Apr 7, 2015
Practice Location
- Address
- 701 LEWISTON STREET
- City
- Cottonwood
- State
- Idaho
- ZIP Code
- 83522-9750
- Phone
- (208) 962-3251
Authorized Official
- Name
- MS. THERESA A UPTMOR
- Title
- CHIEF BUSINESS SERVICES OFFICER
- Phone
- (208) 962-2301
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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