St Benedicts Family Medical Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

H8 Issued in ID

Legal business name

ST BENEDICTS FAMILY MEDICAL CENTER

Practice address

709 N Lincoln Ave
Jerome, ID 83338-1851

Phone

(208) 324-0422

Fax

(208) 324-3878

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Jill L Howell, RN-NHA

Title

Assistant Administrator

Phone

(208) 324-0422

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902856727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 N LINCOLN AVE",
            "city": "JEROME",
            "state": "ID",
            "postal_code": "833381851",
            "telephone_number": "208-324-0422",
            "fax_number": "208-324-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 N LINCOLN AVE",
            "city": "JEROME",
            "state": "ID",
            "postal_code": "833381851",
            "telephone_number": "208-324-0422",
            "fax_number": "208-324-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST BENEDICTS FAMILY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOWELL",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "208-324-0422",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN-NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ID",
            "license": "H8",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "01339",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chase Paul Smith
• Justin G Smith, MD
• Diana Evelyn Soares, CRC
• Southern Idaho Medicine PLLC
• Cory Joseph Sowards, MSW, LMSW
• St Benedicts Family Medical Center (Fifth Avenue Clinic)
• St Benedicts Family Medical Center
• St Benedicts FMC Physician Assistants
• St Luke's Magic Valley Regional Medical Center LTD (St Luke's Jerome)
• St Lukes Magic Valley Regional Medical Center LTD (St Lukes Jerome Swing Beds)

• Skilled Nursing Facility in Jerome, ID
• Providers in Jerome, ID by specialty
• Skilled Nursing Facility in Idaho

• 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.