Charles Malcolm Clair Jr., MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M-10525 Issued in ID

Practice address

1224 8TH St
Rupert, ID 83350-1599

Phone

(208) 436-0481

Fax

(208) 436-6038

NPI assigned

Jun 25, 2007

Sex

Male

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Minidoka Memorial Hospital

  • Critical Access Hospital
  • Rupert, ID
  • NPI 1679553531

  ID

  Medicare reassignment
• Steele Memorial Medical Center

  • Critical Access Hospital
  • Salmon, ID
  • NPI 1851403265
  NPD
• Steele Memorial Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Salmon, ID
  • NPI 1992913479
  NPD

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cclear265914@ahs.direct-ci.com
• Direct secure messaging: cclair@minidokamh.securechart.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 5, 2025.

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1003012204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 STONERIDGE DR",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015043",
            "telephone_number": "208-436-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 8TH ST",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "833501599",
            "telephone_number": "208-436-0481",
            "fax_number": "208-436-6038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1071 Renee Ave",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "832012508",
            "country_code": "US",
            "telephone_number": "208-252-5602",
            "fax_number": "208-269-7094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAIR",
        "first_name": "CHARLES",
        "middle_name": "MALCOLM",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ID",
            "license": "M-10525",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-10525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAMC ID",
            "identifier": "11479847",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cclair10728865@direct.sanfordhealth.org",
            "affiliation": "Y",
            "affiliationName": "Bozeman Health Big Sky Medical Center, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "334 Town Center Avenue",
            "city": "Big Sky",
            "state": "MT",
            "country_code": "US",
            "postal_code": "59716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sandra Cantu
• Elizabeth Castro Castaneda, MS, LPC, NCC
• Aaron Catmull
• Nathan A Catmull, DDS
• Patrick Joseph Cindrich, M.D.
• John B Clayton, ICADC
• Tanya Reid Crystal, FNP-C
• Mark Dahle, MD
• Daybreak Canyon
• Doctors Garrard and Wayment Dentists PLLC

• All providers in Rupert, ID
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.