St. Joseph Regional Medical Center

NPI #1689915365 in Lewiston, Idaho

Provider Information

NPI Number: 1689915365
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: Mar 6, 2013
Last Updated: Mar 6, 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
Internal Medicine - Gastroenterology — Gastroenterology	207RG0100X
Internal Medicine - Pulmonary Disease — Pulmonary Disease	207RP1001X
Psychiatry & Neurology - Neurology — Neurology	2084N0400X
Surgery	208600000X
Internal Medicine	207R00000X	Primary

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