institution
St Benedicts Family Medical Center
Multi-Specialty Clinic/Center in Jerome, Idaho
NPI 1922037530

St Benedicts Family Medical Center is a Multi-Specialty Clinic/Center based in Jerome, ID and is specialized in Multi-Specialty. St Benedicts Family Medical Center practices in Jerome, ID. The NPI Number for St Benedicts Family Medical Center is 1922037530 and holds a License No. (Idaho).

The current practice location address for St Benedicts Family Medical Center is 115 5Th Ave W, Jerome, ID and can be reached out via phone at 208-324-8831 and via fax at 208-324-6678.

Location: 115 5Th Ave W, Jerome, ID, 83338-1824
institution
Provider Profile Details
NPI Number
1922037530
Provider Name
St Benedicts Family Medical Center
Credential
Provider Entity Type
Organization
Address
115 5Th Ave W, Jerome, ID, 83338-1824
Phone Number
208-324-8831
Fax Number
208-324-6678
Provider Enumeration Date
07/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
807893400 05 ID
002287100 05 ID
8A489 01 ID BLUE CROSS OF IDAHO
000010006293 01 ID REGENCE BLUE SHIELD OF ID
institution
Provider Business Practice Location Address Details
Address
115 5Th Ave W
City
State
Zip
83338-1824
Phone Number
208-324-8831
Fax Number
208-324-6678
person
Provider Business Mailing Address Details
Address
115 5Th Ave W
City
State
Zip
83338-1824
Phone Number
208-324-8831
Fax Number
208-324-6678
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
(Idaho)
Definition
Definition to come...
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