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

Randall Bennett

Individual provider Case Manager/Care Coordinator · NPI 1194547422

Randall Bennett is a Case Manager/Care Coordinator in Lewiston, Idaho. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1720 18th Ave
Lewiston, ID 83501-4047
Phone: (208) 746-4097
Fax: (208) 746-2294
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1194547422
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 28, 2024
Last updated in NPPESOctober 28, 2024
Certification dateOctober 28, 2024
Mailing address1720 18th Ave, Lewiston, ID 83501-4047

Other providers in Lewiston