| Organization Name: | BENEWAH COMMUNITY HOSPITAL |
| NPI Number: | 1386632180 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LORI L. STOLTZ (CFO) |
| Mailing Address: | 229 S 8th St St Maries |
| State: | ID US |
| Postal Code: | 838611813 |
| Phone Number: | 2082452591 |
| Fax Number: | 2082455246 |
| NPI Enumeration Date: | 10/06/2005 |
| NPI Last Update Date: | 02/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |