NPI 1114066768 · live from the CMS NPI Registry
St. Joseph Hospital, LLC
Hospice Care, Community Based in Lewiston, ID. National Provider Identifier 1114066768, active.
NPI record
| NPI | 1114066768 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 415 6th St, Lewiston, ID 83501 |
| Practice phone | 208-799-5200 |
| Mailing address | 680 S 4th St # Kh-3, Louisville, KY 40202 |
| Enumerated | February 6, 2007 |
| Last updated | June 23, 2025 |
| Authorized official | Johnetta Traylor, Ao |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based primary | 251G00000X | — (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.