St. Mary's Hospital

NPI #1790919991 in Grangeville, Idaho

Provider Information

NPI Number: 1790919991
Entity Type: Organization
Organization Name: St. Mary's Hospital
Primary Specialty: Physical Therapist
Enumeration Date: May 4, 2009
Last Updated: Apr 7, 2015

Practice Location

Address: 617 W NORTH ST
City: Grangeville
State: Idaho
ZIP Code: 83530-1239
Phone: (208) 983-2241

Authorized Official

Name: MS. THERESA A UPTMOR
Title: CHIEF BUSINESS SERVICES OFFICER
Phone: (208) 962-2301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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