St Joseph Hospital LLC

NPI #1205368404 in Lewiston, Idaho

Provider Information

NPI Number: 1205368404
Entity Type: Organization
Organization Name: St Joseph Hospital LLC
Primary Specialty: Internal Medicine
Enumeration Date: Mar 28, 2017
Last Updated: Jun 25, 2025

Practice Location

Address: 415 6TH STREET
Address 2: PHYSICIAN SERVICES
City: Lewiston
State: Idaho
ZIP Code: 83501-8350
Phone: (208) 750-7462

Authorized Official

Name: JOHNETTA TRAYLOR
Title: AO
Phone: (502) 596-6063

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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