| St Joseph Hospital Llc | |
|
341 Saint Johns Way Lewiston ID 83501-2436 | |
| (615) 844-9800 | |
| (615) 844-9883 |
| Full Name | St Joseph Hospital Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 341 Saint Johns Way, Lewiston, Idaho |
| Authorized Official Name and Position | Kathy Teague (VICE PRESIDENT, CORPORATE SECRETARY) |
| Authorized Official Contact | 6292535121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Joseph Hospital Llc 680 S 4th St Louisville KY 40202-2407 Ph: (629) 253-5121 | St Joseph Hospital Llc 341 Saint Johns Way Lewiston ID 83501-2436 Ph: (615) 844-9800 |
| NPI Number | 1043744287 |
|---|---|
| Provider Enumeration Date | 04/14/2017 |
| Last Update Date | 02/07/2023 |
| Medicare PECOS PAC ID | 8325325806 |
|---|---|
| Medicare Enrollment ID | O20170524000865 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043744287 | NPI | - | NPPES |
| 1043744287 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Gerardo Midence |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1215981832 PECOS PAC ID: 1951304187 Enrollment ID: I20060809000038 |
| Provider Name | Michael T Rooney |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093753360 PECOS PAC ID: 8628040292 Enrollment ID: I20060809000043 |
| Provider Name | Richard J. Lambert |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659318798 PECOS PAC ID: 2062404791 Enrollment ID: I20060809000481 |
| Provider Name | Barbara K Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699746859 PECOS PAC ID: 5193700458 Enrollment ID: I20080121000280 |
| Provider Name | Donald J Greggain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154328052 PECOS PAC ID: 8820074669 Enrollment ID: I20100513001095 |
| Provider Name | Tamara L Bruns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578886305 PECOS PAC ID: 5496884934 Enrollment ID: I20100521000557 |
| Provider Name | John C Morgenstern |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740386432 PECOS PAC ID: 1456529536 Enrollment ID: I20120830000729 |
| Provider Name | Fawna S Huffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356680862 PECOS PAC ID: 6305091653 Enrollment ID: I20130801000894 |
| Provider Name | April Golla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972919447 PECOS PAC ID: 8820216385 Enrollment ID: I20140929001133 |
| Provider Name | Clinton R Morgan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1376779413 PECOS PAC ID: 4284899774 Enrollment ID: I20160323001970 |
| Provider Name | Brian Francis Ciezki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205221041 PECOS PAC ID: 5294056305 Enrollment ID: I20180202001614 |
Southway Internists Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 Southway, Suite C, Lewiston, ID 83501 Phone: 208-746-1333 Fax: 208-746-8090 | |
Laennec Inpatient Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-799-5522 | |
St. Joseph Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 Fax: 208-799-5528 | |
Sterling Provider Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2201 Thain Grade, Lewiston, ID 83501 Phone: 208-717-3100 Fax: 208-717-3099 | |
St Joseph Hospital Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 341 Saint Johns Way, Lewiston, ID 83501 Phone: 615-844-9800 Fax: 615-844-9883 | |
North Central District Health Department Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 215 10th St, Lewiston, ID 83501 Phone: 208-799-0349 |