OrganizationActive
Shoshone Medical Center
NPI 1043215437 · Critical Access Hospital · Kellogg, ID
Provider details
- NPI number
- 1043215437
- Entity type
- Organization
- Primary specialty
- Critical Access HospitalHospitals
- Authorized official
- Donja Erdman, Cfo
- License
- 44 (ID)
Practice location
25 Jacobs Gulch Rd
Kellogg, ID 83837-2023
Phone: (208) 784-7017
Fax: (208) 786-1019
Mailing address
25 Jacobs Gulch Rd
Kellogg, ID 83837-2023
Registry dates
- Enumerated
- 2005-06-14
- Last updated
- 2021-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.