Shoshone Medical Center in Kellogg - Critical Access
Shoshone Medical Center - NPI 1043215437
Shoshone Medical Center is a Critical Access in Kellogg, Idaho. Shoshone Medical Center practices all healthcare services and medical treatments related to Critical Access. The NPI Number for Shoshone Medical Center is 1043215437. The last update date is 2021-04-27.
Shoshone Medical Center's current location address is 25 Jacobs Gulch Rd, Kellogg, Idaho. You can contact this provider via phone number 2087847017 and fax number 2087861019. The mailing address for Shoshone Medical Center is 25 Jacobs Gulch Rd, Kellogg, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shoshone Medical Center |
|---|---|
| Address | 25 Jacobs Gulch Rd, Kellogg, Idaho |
| Phone Number | 2087847017 |
| Fax Number | 2087861019 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Erdman Donja |
| Telephone Number | 2087841221 |
NPI Number Detail
| NPI Number | 1043215437 |
|---|---|
| Provider Enumeration Date | 2005-06-14 |
| Last Updated Date | 2021-04-27 |
Provider Mailing Address Detail
| Address | 25 Jacobs Gulch Rd |
|---|---|
| City | Kellogg |
| State | Idaho (ID) |
| Post Code | 8383720230 |
| Phone Number | 2087847017 |
| Fax Number | 2087861019 |
Provider's Primary Taxonomy Detail
| Speciality | Critical Access |
|---|---|
| Taxonomy | 282Nc0060X |
| Licence No | 44 |
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Definition: Small, rural hospital meeting location and service criteria that allow it to receive cost-based Medicare and Medicaid reimbursement. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 86405 | ID | BLUE CROSS OF IDAHO | |
| 3504605 | MONTANA MEDICAID | ||
| 2862700 | ID | -- | |
| 3016300 | WASHINGTON MEDICAID | ||
| 82553 | WASHINGTON L & I | ||
| 411320 | MONTANA MEDICAID | ||
| 10000167 | ID | REGENCE | |
| 2861700 | ID | -- | |
| 513 | ID | BLUE CROSS OF IDAHO | |
| 10004 | WASHINGTON L & I |
Post Comment/ Review Below
What is the unique identifier code issued to Shoshone Medical Center by the Centers for Medicare & Medicaid Services (CMS)?
The Shoshone Medical Center has been assigned the NPI (National Provider Identifier) 1043215437. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Shoshone Medical Center is located?
The Shoshone Medical Center is situated at the following address: 25 Jacobs Gulch Rd, Kellogg, ID, 8383720230.
What is Shoshone Medical Center's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Shoshone Medical Center is Critical Access, and the taxonomy classification code that categorizes this area of expertise is 282Nc0060X.
When did the Shoshone Medical Center receive its 1043215437?
The Shoshone Medical Center was issued its 1043215437 on 2005-06-14, which is the date when the organization was assigned this unique identifier.
As of what date were the Shoshone Medical Center's details last updated?
The information pertaining to the Shoshone Medical Center, including its address, specialty, and other details, was most recently updated on 2021-04-27.