St. Mary's Health | |
518 Oak Kamiah ID 83536 | |
(208) 935-2585 | |
(208) 935-0945 |
Full Name | St. Mary's Health |
---|---|
Speciality | Family Medicine |
Location | 518 Oak, Kamiah, Idaho |
Authorized Official Name and Position | Lenne Bonner (CEO) |
Authorized Official Contact | 2084764555 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
St. Mary's Health 2003 Kootenai Health Way Coeur D Alene ID 83814-6051 Ph: (208) 625-5085 | St. Mary's Health 518 Oak Kamiah ID 83536 Ph: (208) 935-2585 |
NPI Number | 1568400562 |
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Provider Enumeration Date | 06/02/2006 |
Last Update Date | 01/27/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568400562 | NPI | - | NPPES |
002283501 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |