St. Mary's Hospital

NPI #1932333994 in Kamiah, Idaho

Provider Information

NPI Number: 1932333994
Entity Type: Organization
Organization Name: St. Mary's Hospital
Primary Specialty: Physical Therapist
Enumeration Date: May 6, 2009
Last Updated: Apr 7, 2015

Practice Location

Address: 619 4TH ST
City: Kamiah
State: Idaho
ZIP Code: 83636
Phone: (208) 935-0367

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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