ST MARIES FAMILY MEDICINE – NPI #1386632180
Clinic/Center
ST MARIES FAMILY MEDICINE is an AHC clinic located in SAINT MARIES, ID. NPPES has assigned the NPI number 1386632180 to ST MARIES FAMILY MEDICINE on October 06, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ST MARIES FAMILY MEDICINE” is a dba name, the actual legal business name for this organization is BENEWAH COMMUNITY HOSPITAL. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QR1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rural Health Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.
The NPI profile was last updated on Sep 24, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ST MARIES FAMILY MEDICINE below.
NPI Profile for
BENEWAH COMMUNITY HOSPITAL
(more than 20 years ago)
SAINT MARIES, ID 83861-1803 Phone: (208) 245-2591 Fax: (208) 245-5246
1 Other location(s):
St Maries, ID 83861-1813
Phone: (208) 245-2591
Fax: (208) 245-5246
ST MARIES, ID 83861-1803 Phone: (208) 245-2591 Fax: (208) 245-5246
CFO
Phone: (208) 245-7609
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for ST MARIES FAMILY MEDICINE
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
See identifiers
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | BLUE CROSS OF ID | ID | 87809 |
| OTHER | DEPT LABOR & INDUSTRIES | WA | 0040690 |
| OTHER | REGENCE BS OF ID | ID | 000010006182 |
| OTHER | STATE INSURANCE FUND | ID | 10008 |
| MEDICAID | ID | 002865900 | |
| MEDICAID | ID | 806390700 | |
| MEDICAID | MT | 358889400 | |
| MEDICAID | WA | 7051733 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QR1300X - Clinic/Center / Rural Health (Primary) |
||
| 363L00000X - Nurse Practitioner |
||
| 363A00000X - Physician Assistant |
||
| 261QM1300X - Clinic/Center / Multi-Specialty |
||
| 207R00000X - Internal Medicine |
||
| 207Q00000X - Family Medicine |
||
| 207P00000X - Emergency Medicine |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.