St Benedicts Family Medical Center in Jerome - Multi-specialty
St Benedicts Family Medical Center - NPI 1922037530
St Benedicts Family Medical Center is a Multi-specialty in Jerome, Idaho. St Benedicts Family Medical Center practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for St Benedicts Family Medical Center is 1922037530. The last update date is 2008-05-08.
St Benedicts Family Medical Center's current location address is 115 5th Ave W, Jerome, Idaho. You can contact this provider via phone number 2083248831 and fax number 2083246678. The mailing address for St Benedicts Family Medical Center is 115 5th Ave W, Jerome, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St Benedicts Family Medical Center |
|---|---|
| Address | 115 5th Ave W, Jerome, Idaho |
| Phone Number | 2083248831 |
| Fax Number | 2083246678 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Stevenson Alan Warren |
| Telephone Number | 2083241122 |
NPI Number Detail
| NPI Number | 1922037530 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2008-05-08 |
Provider Mailing Address Detail
| Address | 115 5th Ave W |
|---|---|
| City | Jerome |
| State | Idaho (ID) |
| Post Code | 833381824 |
| Phone Number | 2083248831 |
| Fax Number | 2083246678 |
Provider's Primary Taxonomy Detail
| Speciality | Multi-specialty |
|---|---|
| Taxonomy | 261Qm1300X |
|
Definition: Provides integrated outpatient care across medical and surgical specialties with referrals under one roof. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 807893400 | ID | -- | |
| 2287100 | ID | -- | |
| 8A489 | ID | BLUE CROSS OF IDAHO | |
| 10006293 | ID | REGENCE BLUE SHIELD OF ID |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to St Benedicts Family Medical Center by the Centers for Medicare & Medicaid Services?
The St Benedicts Family Medical Center has been issued the NPI (National Provider Identifier) 1922037530, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where St Benedicts Family Medical Center is geographically located?
The St Benedicts Family Medical Center is physically situated at the following location: 115 5Th Ave W, Jerome, ID, 833381824.
What is St Benedicts Family Medical Center's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for St Benedicts Family Medical Center is Multi-specialty, and the taxonomy code that classifies this field of practice is 261Qm1300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1922037530 to St Benedicts Family Medical Center?
The Centers for Medicare & Medicaid Services assigned the 1922037530 to St Benedicts Family Medical Center on 2006-07-03.
As of what date were the details related to St Benedicts Family Medical Center most recently updated or revised?
The information pertaining to St Benedicts Family Medical Center, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY