Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

St Mary's Hospital

Organization Family Medicine Physician · NPI 1710203237

St Mary's Hospital is a Family Medicine Physician in Grangeville, Idaho. Licensed in Idaho. Registered with an NPI since 2010.

Licensed in
ID
In the registry since
2010
Specialties on file
2
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Practice location Address checks out

617 W North St
Grangeville, ID 83530-1239
Phone: (208) 962-3267
Fax: (208) 962-2313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (ID)
Family Nurse Practitioner Taxonomy 363LF0000X (ID)

Record details

NPI number1710203237
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Gates — Director Of Revenue Cycle · (208) 476-8083
Other names St. Mary'S Grangeville Clinic; St. Mary'S Grangeville Clinic
NPI enumeratedApril 8, 2010
Last updated in NPPESOctober 2, 2020
Certification dateOctober 2, 2020
Mailing address617 W North St, Grangeville, ID 83530-1239

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