Active NPI
Bingham Memorial Hospital
Doing business as Bingham Memorial Physicians and Surgeons Clinic of Shelley
- Rural Health Clinic/Center
- Shelley, ID
National Provider Identifier
1508989765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- BINGHAM MEMORIAL HOSPITAL
- Doing business as
- Bingham Memorial Physicians and Surgeons Clinic of Shelley
- Practice address
- 275 W Locust St
Shelley, ID 83274-1230 - Phone
- (208) 785-4100
- NPI assigned
- Apr 10, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Louis Kraml
- Title
- Ceo
- Phone
- (208) 785-3801
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | NU | Primary |
Addresses
Primary practice location
275 W Locust St
Shelley, ID 83274-1230
Mailing address
275 W Locust St
Shelley, ID 83274-1230
Phone (208) 785-4100
Other names 1
- BINGHAM MEMORIAL PHYSICIANS AND SURGEONS CLINIC OF SHELLEY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1508989765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 W LOCUST ST",
"city": "SHELLEY",
"state": "ID",
"postal_code": "832741230",
"telephone_number": "208-785-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 W LOCUST ST",
"city": "SHELLEY",
"state": "ID",
"postal_code": "832741230",
"telephone_number": "208-785-4100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BINGHAM MEMORIAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KRAML",
"authorized_official_first_name": "LOUIS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "208-785-3801",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BINGHAM MEMORIAL PHYSICIANS AND SURGEONS CLINIC OF SHELLEY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Shelley, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.