ST BENEDICTS FAMILY MEDICAL CENTER (NPI# 1992898605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992898605 |
| Entity Type | Organization |
| Organization Name | ST BENEDICTS FAMILY MEDICAL CENTER |
| Practice Address |
414 N Lincoln Suite 1 Jerome ID 83338 |
| Mailing Address |
709 N Lincoln Jerome ID 83338 |
| Practice Telephone | 2083240526 |
| Practice Fax Number | 2083244809 |
| Mailing Telephone | 2083244301 |
| Mailing Fax Number | 2083243878 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ALAN STEVENSON (ADMINISTRATOR) |
| Authorized Official Telephone | 2083240425 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | HH174 | ID | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 00288500 | 05 | |
| ID | BLUE CROSS OF IDAHO | 01701 | 01 |
| ID | BLUE SHIELD OF IDAHO | 000010033877 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922037530 | St Benedicts Family Medical Center | Clinic/Center | 115 5th Ave W, Jerome, ID 83338-1824 | 2006-07-03 |
| 1073559993 | St Benedicts Family Medical Center | Clinic/Center | 280 W Main St, Wendell, ID 83355-5201 | 2006-06-20 |
| 1902856727 | St Benedicts Family Medical Center | Skilled Nursing Facility | 709 N Lincoln Ave, Jerome, ID 83338-1851 | 2006-05-11 |
| Street Address |
414 N LINCOLN SUITE 1 |
| City | JEROME |
| State | ID |
| Zip Code | 83338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336709 | Family Health Services Pharmacy | Pharmacy | 218 W. Nez Perce, Jerome, ID 83338 | 2020-11-03 |
| 1811391626 | Summit Therapy Services | In Home Supportive Care | 113 East Ave. F, Jerome, ID 83338 | 2014-10-22 |
| 1952645285 | Readings Community Pharmacy Inc | Pharmacy | 133 West A, Jerome, ID 83338 | 2012-11-27 |
| 1801121298 | Yolanda S. Sedano | Physician Assistant | 132 5th Ave West, Jerome, ID 83338 | 2009-10-02 |
| 1295898310 | Ronald Gail Hendrickson | Dentist | 128 South Adams, Jerome, ID 83338 | 2006-12-19 |
| 1316035512 | Johnson Chiropractic Clinic | Chiropractor | 600 N Lincoln Ave, Jerome, ID 83338 | 2006-10-11 |
| 1265527725 | Lon M. Egbert, P.C. | Specialist/Technologist | 128 5th Ave West, Jerome, ID 83338 | 2006-10-03 |
| 1790231355 | Lexa Marie Balling | Pharmacist | 2680 S Lincoln Ave, Jerome, ID 83338 | 2016-09-01 |
| 1922037530 | St Benedicts Family Medical Center | Clinic/Center | 115 5th Ave W, Jerome, ID 83338-1824 | 2006-07-03 |
| 1487218814 | Logan Perkins | Family Medicine | 132 5th Ave W Ste 2, Jerome, ID 83338-1825 | 2019-05-01 |
| Find all providers in zip 83338 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511213 | Irene M Ohls | Home Health | 322 W Logan St, Caldwell, ID 83605-1710 | 2020-09-03 |
| 1881202414 | Ann Chambers | Home Health | 1320 Dry Creek Rd, Troy, ID 83871-9664 | 2020-07-20 |
| 1720602816 | Ann Home Care LLC | Home Health | 42565 Silver Valley Rd, Kingston, ID 83839-9736 | 2020-06-03 |
| 1477177921 | Whitewater Healthcare LLC | Home Health | 240 W Burnside Ave Ste B, Chubbuck, ID 83202-4703 | 2020-06-01 |
| 1003436171 | Right At Home Care | Home Health | 158 E Main St Ste 4b, Grangeville, ID 83530-2283 | 2020-04-20 |
| 1467097410 | Karissa I Niece | Home Health | 3515 W Greenbrier Dr, Boise, ID 83705-4514 | 2019-11-14 |
| 1639714967 | Summerlin Healthcare, Inc. | Home Health | 1675 E Riverside Dr Ste 150, Eagle, ID 83616-7584 | 2019-11-11 |
| 1033768262 | Cloudnine Home Care LLC | Home Health | 482 Constitution Way Ste 110, Idaho Falls, ID 83402-3568 | 2019-09-10 |
| 1164082210 | Boise Home Care Inc. Comfort Keepers | Home Health | 7646 W Lemhi St Ste 4, Boise, ID 83709-2871 | 2019-06-19 |
| 1477111276 | Perfection Home Health LLC | Home Health | 1190 Quigley St Ste A, Idaho Falls, ID 83402-1812 | 2019-06-05 |
| Find all providers with the same taxonomy | ||||
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| 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.