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

St Mary's Hospital

Organization Family Medicine Physician · NPI 1710203237

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

Licensed in
ID
In the registry since
2010
Specialties on file
2

Practice location Address checks out

617 W North St
Grangeville, ID 83530-1239
Phone: (208) 962-3267
Fax: (208) 962-2313
Show map & directions

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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