St. Mary's Hospital
NPI #1710203237 in Grangeville, Idaho
Provider Information
- NPI Number
- 1710203237
- Entity Type
- Organization
- Organization Name
- St. Mary's Hospital
- Primary Specialty
- Family Medicine
- Enumeration Date
- Apr 8, 2010
- Last Updated
- Oct 2, 2020
Practice Location
- Address
- 617 W NORTH ST
- City
- Grangeville
- State
- Idaho
- ZIP Code
- 83530-1239
- Phone
- (208) 962-3267
Authorized Official
- Name
- MICHELLE M GATES
- Title
- DIRECTOR OF REVENUE CYCLE
- Phone
- (208) 476-8083
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Family Medicine |
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