| NPI | 1386632180 |
|---|---|
| Doing Business As | ST MARIES FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | LORI MINIER CFO 208-245-7609 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2024-09-24 |