NPI age
9 years
Enumerated 2017-03-28
● Active Type 2 · Organization
St Joseph Hospital Llc
St Joseph Hospital Llc is 1 of 504 internal medicine organizations in Idaho.
Primary specialty
Internal Medicine
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Traylor
Ao
Last NPPES update
2025-06-25
Source: monthly bulk 2026-05
How this organization compares
Across 504 active internal medicine providers in Idaho.
NPI age
9 years
↓ 7 yr below median
Practice locations
2
1 secondary on file
Subspecialties
0
NPI lifetime · 2017 → 2026
2017-03Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
415 6th Street, Physician Services
Lewiston, ID 835018350
Mailing address
680 S 4th St
Louisville, KY 402022407
Additional practice locations
1 secondary location on file with NPPES.
Location 2
341 Saint Johns Way
Lewiston, ID 835012436
Authorized official
Johnetta Traylor
Ao
📞 5025966063
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Nicole Dwyer, PA Physician Assistant NPI 1780860908
- Shayleigh Montgomery, FNP-C Nurse Practitioner NPI 1285466797
- Connie Spears, FNP Nurse Practitioner NPI 1881228781
- Austin Woolard, NP Nurse Practitioner NPI 1518762574
Specialties
-
Internal Medicine PrimaryA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1205368404 |
Practice context
Multi-provider organization. 4 individual providers on file at this primary address. Plus 1 secondary practice location.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.