St Benedicts Family Medical Center, NPI 1922037530
Multi-Specialty Clinic/Center in Jerome, ID, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1922037530 |
| NPI Entity Type | Organization |
| Provider Name |
St Benedicts Family Medical Center
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 115 5th Ave W, Jerome, ID, US |
| Provider Mailing Address | 115 5th Ave W, Jerome, ID, US, 833381824 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MR. Warren Alan Stevenson |
| Official Position | CEO |
| Phone | 208-324-1122 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Multi-Specialty Clinic/Center |
| Classification | |
| Group | |
| License State | ID |
| Description | Definition to come... |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 807893400 | ID | MEDICAID | 05 |
| 002287100 | ID | MEDICAID | 05 |
| 8A489 | ID | BLUE CROSS OF IDAHO | 01 |
| 000010006293 | ID | REGENCE BLUE SHIELD OF ID | 01 |
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