Organization · Type 2 NPI

St. Joseph Hospital, LLC

Rehabilitation Hospital Unit · Lewiston, ID

NPI number 1629783295 Active

Practice location

415 6th St
Lewiston, ID 83501-2431

Call (208) 743-2511 Map

Mailing address

680 S 4th St
Louisville, KY 40202-2407

Specialties and licenses

Taxonomy	Code	License
Rehabilitation Hospital Unit Primary	273Y00000X	None listed

Rehabilitation Hospital Unit: In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets th…

121 other providers at this address

NPI record

NPI: 1629783295
Entity type: Organization (Type 2)
Issued: Jan 18, 2023
Last updated: Jun 10, 2025
Status: Active
Subpart: Yes of St. Joseph Hospital, LLC

Other names

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St. Joseph Regional Medical Center · doing business as
St. Joseph Regional Medical Center · doing business as

Authorized official

Johnetta Traylor, PESC
Director
(502) 596-6063

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1629783295

St. Joseph Hospital, LLC's National Provider Identifier is 1629783295, issued on Jan 18, 2023. The primary taxonomy on file is Rehabilitation Hospital Unit (273Y00000X), and the practice location is in Lewiston, ID. The record was last updated on Jun 10, 2025.