St Benedicts Family Medical Center

NPI #1992898605 in Jerome, Idaho

Provider Information

NPI Number: 1992898605
Entity Type: Organization
Organization Name: St Benedicts Family Medical Center
Primary Specialty: Home Health
Enumeration Date: Oct 2, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 414 N LINCOLN
Address 2: SUITE 1
City: Jerome
State: Idaho
ZIP Code: 83338
Phone: (208) 324-0526

Authorized Official

Name: MR. ALAN STEVENSON
Title: ADMINISTRATOR
Phone: (208) 324-0425

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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