West Shoshone Hospital District

LBN: Shoshone Medical Center
West Shoshone Hospital District is an health care organization with primary practice located at 25 Jacobs Gulch Rd , Kellogg ID 83837-2023. The organization recently has only one registered license in Hospitals / Critical Access, which is considered as the primary health care specialty. Shoshone Medical Center can be contacted via phone (208) 784-7017, or through Erdman, Donja via phone (208) 784-1221.

Contact Information

Primary practice address
25 Jacobs Gulch Rd Kellogg ID 83837-2023
Phone: (208) 784-7017
Fax: (208) 786-1019
Website:
Map and Directions
Authorized official contact:
Name: Erdman, Donja
Phone: (208) 784-1221

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X 44 Idaho

Profile Details

NPI number 1043215437
LBN Legal business name Shoshone Medical Center
DBA Doing business as West Shoshone Hospital District
Authorized official Erdman, Donja
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2005
Last updated Apr 27th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043215437 NPPES
Idaho Other 86405 BLUE CROSS OF IDAHO
Idaho Other 3504605 BLUE CROSS OF IDAHO
Idaho MEDICAID 002862700 BLUE CROSS OF IDAHO
Idaho Other 3016300 BLUE CROSS OF IDAHO
Idaho Other 0082553 BLUE CROSS OF IDAHO
Idaho Other 411320 BLUE CROSS OF IDAHO
Idaho Other 000010000167 BLUE CROSS OF IDAHO
Idaho MEDICAID 002861700 BLUE CROSS OF IDAHO
Idaho Other 00513 BLUE CROSS OF IDAHO
Idaho Other 10004 BLUE CROSS OF IDAHO
Idaho Other 7043250 BLUE CROSS OF IDAHO
Idaho MEDICAID 002861800 BLUE CROSS OF IDAHO

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