OrganizationActive
Benewah Medical Center
NPI 1336135136 · Federally Qualified Health Center (FQHC) · Plummer, ID
Provider details
- NPI number
- 1336135136
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Authorized official
- Paul Bergland, Chief Financial Officer
- License
- 131814 (ID)
Mailing address
Po Box 388
Plummer, ID 83851-0388
Registry dates
- Enumerated
- 2005-09-27
- Last updated
- 2018-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.