Elmore Medical Center Hospital District
Family Medicine in Mountain Home, ID. Organization (NPI-2).
NPI number1831179696
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1831179696
- Entity type
- Organization (NPI-2)
- Legal business name
- Elmore Medical Center Hospital District
- Organization subpart
- No
- Enumeration date
- Jan 18, 2006
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Trinity Mountain Family Practice (Doing Business As)
Practice location
465 McKenna DrMountain Home, ID 83647-2143
Phone 208-587-9703 · Fax 208-580-9812
Mailing address
465 McKenna DrMountain Home, ID 83647-2143
Phone 208-587-9703 · Fax 208-580-9812
Authorized official
Greg Mauer
Ceo
2085802677
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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