Organization 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
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.