Organization · Type 2 NPI
Benewah Medical Center
Federally Qualified Health Center (FQHC) · Plummer, ID
NPI number
1336135136
Active
Practice location
427 N 12th St
Plummer, ID 83851
Mailing address
PO Box 388
Plummer, ID 83851-0388
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | 131814 (ID) |
Federally Qualified Health Center (FQHC): Definition to come...
6 other providers at this address
- Angela Dawn Delio, LCSWClinical Social Worker Plummer, ID NPI 1063869295
- Austen Reis Cardoza, PA-CPhysician Assistant Plummer, ID NPI 1821766296
- Carl Printz, LMSWAddiction (Substance Use Disorder) Counselor Plummer, ID NPI 1952709198
- Coy Fullen, DOFamily Medicine Physician Plummer, ID NPI 1902967243
- Taylor James Wilkens, DDSDentist Plummer, ID NPI 1548507593
- Willow R. Kenyon, LCSWClinical Social Worker Plummer, ID NPI 1982076410
About NPI 1336135136
Benewah Medical Center's National Provider Identifier is 1336135136, issued on Sep 27, 2005. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Plummer, ID. The record was last updated on Mar 29, 2018.