NPIMap

Organization Active NPI

St. Joseph's Regional Medical Center

  • General Acute Care Hospital
  • Lewiston, ID
National Provider Identifier
1003284126
Registry record updated Sep 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
LMSW-34840 Issued in ID
Legal business name
ST. JOSEPH'S REGIONAL MEDICAL CENTER
Practice address
428 6TH Ave
Lewiston, ID 83501-2355
Phone
(208) 799-6500
NPI assigned
Sep 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Chivonne Mraz, LCSWNPI 1235398017
Title
Outpatient Mental Health Manager
Phone
(208) 799-6500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X LMSW-34840 ID Primary

Addresses

Primary practice location

428 6TH Ave
Lewiston, ID 83501-2355

Mailing address

415 6TH St
Lewiston, ID 83501-2431
Phone (208) 743-2511

National Provider Directory

National Provider Directory
Tax ID family
Pro Fees St Joseph RMC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/29f657f0-c982-48e4-aa91-691f7be0aedf/

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441411200000",
    "number": "1003284126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 6TH ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012431",
            "telephone_number": "208-743-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 6TH AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012355",
            "telephone_number": "208-799-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH'S REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-05",
        "last_updated": "2015-09-05",
        "status": "A",
        "authorized_official_last_name": "MRAZ",
        "authorized_official_first_name": "CHIVONNE",
        "authorized_official_title_or_position": "OUTPATIENT MENTAL HEALTH MANAGER",
        "authorized_official_telephone_number": "208-799-6500",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "ID",
            "license": "LMSW-34840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.