St. Mary's Health | |
501 Oak Nezperce ID 83543 | |
(208) 937-2496 | |
(208) 937-2497 |
Full Name | St. Mary's Health |
---|---|
Speciality | Family Medicine |
Location | 501 Oak, Nezperce, 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 |
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St. Mary's Health 2003 Kootenai Health Way Coeur D Alene ID 83814-6051 Ph: (208) 625-5085 | St. Mary's Health 501 Oak Nezperce ID 83543 Ph: (208) 937-2496 |
NPI Number | 1366480394 |
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Provider Enumeration Date | 06/03/2006 |
Last Update Date | 01/27/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366480394 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |