NPI age
16 years
Enumerated 2010-04-08
● Active Type 2 · Organization
St. Mary'S Hospital
St. Mary'S Hospital is 1 of 1691 family medicine organizations in Idaho.
Primary specialty
Family Medicine
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gates
Director Of Revenue Cycle
Last NPPES update
2020-10-02
Source: monthly bulk 2026-05
How this organization compares
Across 1691 active family medicine providers in Idaho.
NPI age
16 years
≈ at median (17 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 31% of peers with subspecialties
NPI lifetime · 2010 → 2026
2010-04Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
617 W North St
Grangeville, ID 835301239
Mailing address
617 W North St
Grangeville, ID 835301239
Authorized official
Michelle M Gates
Director Of Revenue Cycle
📞 2084768083
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Christina Koehler, L.M.P. Massage Therapist NPI 1104005040
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
-
Nurse PractitionerDefinition to come...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
St. Mary's Grangeville Clinic
-
St. Mary's Grangeville Clinic
Practice context
Multi-provider organization. 1 individual provider 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 →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.