NPIMap

Minidoka Memorial Hospital

A Medicare group practice based in Rupert, ID: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 7315908894), with 74 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7315908894The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
Enrolled in
ID
Enrollments
6
Group size
38 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
12In 2 places

Enrollment records 6

Enrollment IDStateProvider typeNPI
O20041019001205 ID Part B Supplier - Clinic/Group Practice 1134333495
O20071002000478 ID Part A Provider - Critical Access Hospital 1679553531
O20050708000794 ID Part A Provider - Skilled Nursing Facility 1023052040
O20050801000086 ID Part B Supplier - Clinic/Group Practice 1679553531
O20050428000396 ID Part A Provider - Rural Health Clinic 1043387426
O20061104000542 ID Part A Provider - Critical Access Hospital 1679553531

NPIs in this group 4

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 74

Clinicians who reassign their Medicare benefits to this group (74) or whom Care Compare lists as members (38).

Sources for this page