St. Joseph Hospital, LLC

NPI #1629783295 in Lewiston, Idaho

Provider Information

NPI Number
1629783295
Entity Type
Organization
Organization Name
St. Joseph Hospital, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
ST. JOSEPH HOSPITAL, LLC
Primary Specialty
Rehabilitation Unit
Enumeration Date
Jan 18, 2023
Last Updated
Jun 10, 2025

Practice Location

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

Authorized Official

Name
JOHNETTA TRAYLOR, PESC
Title
DIRECTOR
Phone
(502) 596-6063

Specialties & Taxonomy Codes

Specialty
Rehabilitation Unit

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