| St. Joseph Hospital, Llc | |
|
415 6th St Lewiston ID 83501-2431 | |
| (208) 799-5700 | |
| Not Available |
| Full Name | St. Joseph Hospital, Llc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 415 6th St, Lewiston, Idaho |
| Authorized Official Name and Position | Kathy J. Teague (ASSISTANT VICE PRESIDENT, SECRETARY) |
| Authorized Official Contact | 6159207000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Joseph Hospital, Llc Po Box 816 Lewiston ID 83501-0816 Ph: (208) 743-2511 | St. Joseph Hospital, Llc 415 6th St Lewiston ID 83501-2431 Ph: (208) 799-5700 |
| NPI Number | 1205975851 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 03/22/2021 |
| Certification Date | 03/22/2021 |
| Medicare PECOS PAC ID | 8325325806 |
|---|---|
| Medicare Enrollment ID | O20170602000919 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205975851 | NPI | - | NPPES |
| 2081804 | Medicaid | WA | |
| 01347 | Other | ID | BLUE CROSS ID MENTAL HEA |
| 805015100 | Medicaid | ID | |
| 0008481 | Other | WA | WA L&I MENTAL HEALTH |
| 3500097 | Medicaid | WA | |
| 72055 | Other | ID | REGENCE OF ID MENTAL HEAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (Idaho) | Primary |
William R. Bozarth, M.d., P.s. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 338 6th St, Suite 102, Lewiston, ID 83501 Phone: 208-746-3320 Fax: 208-746-8717 | |
Serenity Treatment Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1229 Main St Ste 101, Lewiston, ID 83501 Phone: 208-743-5906 Fax: 833-264-6643 | |
Ascendant Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 Adams Ln, Lewiston, ID 83501 Phone: 208-310-9220 | |
Phillips Agency, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 532 Bryden Ave, Lewiston, ID 83501 Phone: 208-746-7266 Fax: 208-798-5169 | |
Bruns Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 321 17th St, Lewiston, ID 83501 Phone: 208-746-3398 | |
Kristy Kuehfuss, Phd, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1418 Grelle Ave, Lewiston, ID 83501 Phone: 208-631-5843 | |
Idaho Dept Of Health & Welfare Reg Ii Amh Lewiston Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1118 F St, Lewiston, ID 83501 Phone: 208-799-4440 Fax: 208-799-5171 |