ST. MARY'S HOSPITAL


Address: 701 Lewiston St, Cottonwood, ID 83522
Phone: 2089623251

ST. MARY'S HOSPITAL (NPI# 1245433739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245433739
Entity Type Organization
Organization Name ST. MARY'S HOSPITAL
Other Organization Name ANESTHESIA GROUP
Practice Address 701 Lewiston St
Cottonwood
ID 83522
Mailing Address 701 Lewiston St
P O Box 137
Cottonwood
ID 83522
Practice Telephone 2089623251
Mailing Telephone 2089623251
Mailing Fax Number 2089623722
Enumeration Date 2007-06-11
Last Update Date 2009-05-11
Authorized Official Name THERESA A UPTMOR (DIRECTOR BUSINESS SERVICES)
Authorized Official Telephone 2089622301
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 33 ID Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
ID 002286200 05
ID BLUE SHIELD GROUP PROV # 000010158532 01

Other Provider/Organization Names

Other Name Type Code
Anesthesia Group Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1992931232 St. Mary's Hospital Early Intervention Provider Agency 9226 Avenue J, Brooklyn, Brooklyn, NY 11236-3935 2009-06-01
1932333994 St. Mary's Hospital Physical Therapist 619 4th St, Kamiah, ID 83636 2009-05-06
1427261007 St. Mary's Hospital General Acute Care Hospital 365 Harding Ave, Apt. 2, Clifton, NJ 07011-3626 2007-05-08
1578684023 St. Mary's Hospital Community Based Residential Treatment Facility, Mental Illness 530 Main Ave, Passaic, NJ 07055-5700 2007-04-03
1750402202 St. Mary's Hospital Residential Treatment Facility, Emotionally Disturbed Children 33 Mineral Spring Ave, Passaic, NJ 07055-2512 2007-04-03
1366480394 St. Mary's Hospital Nurse Practitioner 501 Oak, Nezperce, ID 83543 2006-06-03
1568400562 St. Mary's Hospital Nurse Practitioner 518 Oak, Kamiah, ID 83536 2006-06-02
1770521817 St. Mary's Hospital Nurse Practitioner 320 N Division, Craigmont, ID 83523 2006-06-02
1285630624 St. Mary's Hospital Clinic/Center 205 Huron, Irvington, IL 62848 2005-06-21
1790789451 St. Mary's Hospital Clinic/Center 825 New York Dr, Ste 2, Vandalia, IL 62471-1044 2005-06-10

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities ST MARY'S HOSPITAL FOR CHILDREN, INC. 2901 216th St, Bayside, NY 11360-2810
System for Award Management (SAM) Entities ST MARY'S HOSPITAL MEDICAL CENTER 700 S Park St, Madison, WI 53715-1849
System for Award Management (SAM) Entities ST MARY'S HOSPITAL OF SUPERIOR 3500 Tower Ave, Superior, WI 54880-5335
Colorado Business Entities St. Mary's Hospital & Medical Center Medical Staff 2635 N 7th St, Grand Junction, CO 81501
Washington State Corporations ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. 500 Eldorado Blvd Ste 4300, Attn Chief Legal Officer, Broomfield, CO 80021
Colorado Business Entities ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. 2635 N. 7th Street, Grand Junction, CO 81501
Colorado Business Entities ST. MARY'S HOSPITAL FOUNDATION 2635 N 7th Street, Grand Junction, CO 81501
System for Award Management (SAM) Entities ST. MARY'S HOSPITAL FOUNDATION 2635 N 7th St, Grand Junction, CO 81501-8209
System for Award Management (SAM) Entities ST. MARY'S HOSPITAL LACOR Juba Road, Gulu, , UGA
Massachusetts Corporations ST. MARY'S HOSPITAL, INC. 901 45th St., W. Palm Beach, FL 33416

Office Location

Street Address 701 LEWISTON ST
City COTTONWOOD
State ID
Zip Code 83522

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316940232 Haley J Minnehan Family Medicine 701 Lewiston St, Cottonwood, ID 83522-9750 2005-05-24
1558995829 Patrick Ross Hulan Physical Therapist 701 Lewiston St, Cottonwood, ID 83522-9750 2020-02-26
1356794721 Kevin Lienesch Nurse Anesthetist, Certified Registered 701 Lewiston St, Cottonwood, ID 83522-9750 2016-07-20
1740639541 Justin Leroy Jones Family Medicine 701 Lewiston St, Cottonwood, ID 83522-9750 2016-06-13
1164759379 Rebecca S Kirk-ewing Registered Nurse 701 Lewiston St, Cottonwood, ID 83522-9750 2009-11-09
1851556229 Clarence Jaron Brunson Chiropractor 701 Lewiston St, Cottonwood, ID 83522-9750 2008-07-24
1992994024 St. Mary's Hospital Pharmacy Pharmacy 701 Lewiston St, Cottonwood, ID 83522 2007-10-15
1003948845 Bernadette Jamie Rundhaug Counselor 701 Lewiston St, Cottonwood, ID 83522 2007-03-09
1114076635 Richard A Erickson Nurse Anesthetist, Certified Registered 701 Lewiston St, Cottonwood, ID 83522 2007-01-10
1578612065 Dennis W Tracy Nurse Anesthetist, Certified Registered 701 Lewiston St, Cottonwood, ID 83522 2007-01-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689084659 Denise Marie Nuxoll Pharmacist 429 Main, Cottonwood, ID 83522 2014-04-30
1376711416 Sherry Lynn Riener Midwife 502 King Street, Cottonwood, ID 83522 2008-02-12
1629114905 Cottonwood Jt Sch Dist Local Education Agency (LEA) 907 Lewiston Street, Cottonwood, ID 83522 2007-01-30
1902980121 Arnzen Super Drug, Inc. Pharmacy 429 Main Street, Cottonwood, ID 83522 2006-10-24
1629047931 John Douglas Trueblood Physician Assistant 701 Lewiston Street, Cottonwood, ID 83522 2006-03-17
1124442421 Carletta Jean Allen Speech-Language Pathologist 701 Lewiston Street, Cottonwood, ID 83522 2014-02-07
1376965319 Jamie Scheffler Physical Therapist 701 Lewiston Street, Cottonwood, ID 83522 2014-01-10
1639482888 Scarlett Jo Uhlenkott Nurse Practitioner 701 Lewiston Street, Cottonwood, ID 83522 2010-07-16
1457665945 Providence Health & Services Internal Medicine 701 Lewiston Street, Cottonwood, ID 83522-0000 2010-07-27
1053309971 Obbie T Atkinson Family Medicine 701 Lewiston Street, Cottonwood, ID 83522-0000 2005-10-13
Find all providers in zip 83522

Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033385414 Avalos Anesthesia Services Inc. Nurse Anesthetist, Certified Registered 651 W Mingus Ave Ste 2a, Cottonwood, AZ 86326-4017 2008-05-05
1649282948 Judy A. Cowan Nurse Anesthetist, Certified Registered 1005 S 5th St, Cottonwood, AZ 86326-4330 2006-08-13
1598787889 Stephen K Lindsey Nurse Anesthetist, Certified Registered 269 South Candy Lane, Cottonwood, AZ 86326-8328 2006-07-24
1710543889 Corey Warner Nurse Anesthetist, Certified Registered 269 S Candy Ln, Cottonwood, AZ 86326-4158 2019-05-14
1568025716 Shane Stevens Nurse Anesthetist, Certified Registered 269 S Candy Ln, Cottonwood, AZ 86326-4158 2019-04-15
1376017459 Nicholas Finlinson Nurse Anesthetist, Certified Registered 269 S Candy Ln, Cottonwood, AZ 86326-4158 2019-01-11
1528559143 Joseph Scot Denhalter Nurse Anesthetist, Certified Registered 269 S Candy Ln, Cottonwood, AZ 86326-4158 2018-05-21
1710482740 Trevor Thorpe Nurse Anesthetist, Certified Registered 269 S Candy Ln, Cottonwood, AZ 86326-4158 2018-03-30
1376089417 Lisa Strait Nurse Anesthetist, Certified Registered 269 S Candy Ln, Cottonwood, AZ 86326-4158 2017-01-12
1356794721 Kevin Lienesch Nurse Anesthetist, Certified Registered 701 Lewiston St, Cottonwood, ID 83522-9750 2016-07-20
Find all providers in COTTONWOOD

Competitor

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City COTTONWOOD
Zip Code 83522

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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