NPI age
20 years
Enumerated 2005-09-27
● Active Type 2 · Organization
Benewah Medical Center
Benewah Medical Center is 1 of 157 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bergland
Chief Financial Officer
Last NPPES update
2018-03-29
Source: monthly bulk 2026-05
How this organization compares
Across 157 active clinic/center providers in Idaho.
NPI age
20 years
↑ 12 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2005 → 2026
2005-09Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
427 N 12th St
Plummer, ID 83851
Mailing address
Po Box 388
Plummer, ID 838510388
Authorized official
Paul Leroy Bergland
Chief Financial Officer
📞 2086865162
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Austen Cardoza, PA-C Physician Assistant NPI 1821766296
- Angela Delio, LCSW Social Worker NPI 1063869295
- Coy Fullen, DO Family Medicine NPI 1902967243
- Willow Kenyon, LCSW Social Worker NPI 1982076410
- Carl Printz, LMSW Counselor NPI 1952709198
- Taylor Wilkens, DDS Dentist NPI 1548507593
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 0026771 | |
| 05 (ID) | 805801300 | |
| 05 (ID) | 804166900 |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Marimn Health
-
Marimn Health
Practice context
Multi-provider organization. 6 individual providers on file at this primary address.
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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.