Organization Name: | BENEWAH COMMUNITY HOSPITAL |
NPI Number: | 1548320435 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LORI L STOLTZ (CFO) |
Mailing Address: | 229 South 7th St St Maries |
State: | ID US |
Postal Code: | 83861 |
Phone Number: | 2082455551 |
Fax Number: | 2082459303 |
NPI Enumeration Date: | 12/11/2006 |
NPI Last Update Date: | 02/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 27 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |