ST. MARY'S HEALTH – NPI #1366480394
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

ST. MARY'S HEALTH is a provider located in NEZPERCE, ID. NPPES has assigned the NPI number 1366480394 to ST. MARY'S HEALTH on June 03, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ST. MARY'S HEALTH” is a dba name, the actual legal business name for this organization is ST. MARY'S HOSPITAL, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 4 years ago on Jan 27, 2022. 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. MARY'S HEALTH below.

NPI Profile for
ST. MARY'S HOSPITAL, INC.

NPI Number
1366480394
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST. MARY'S HOSPITAL, INC.
Doing Business As (dba): ST. MARY'S HEALTH
Primary location
501 OAK
NEZPERCE, ID 83543
Phone: (208) 937-2496 Fax: (208) 937-2497
Mailing address
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814-6051
Phone: (208) 625-5085 Fax: (208) 625-5731
Organization Subpart
No
Authorized Official
LENNE BONNER
CEO
Phone: (208) 476-4555
Updated
Certification Date
Jan 27, 2022

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.

Taxonomy Code(s)

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
207Q00000X
- Family Medicine (Primary)
363LF0000X
- Nurse Practitioner / Family

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.