Elmore Medical Center

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

Legal business name

ELMORE MEDICAL CENTER

Practice address

895 N 6TH E
Mountain Home, ID 83647

Phone

(208) 587-8401

Fax

(208) 587-8406

NPI assigned

Dec 13, 2006

Organization subpart

No

Name

Mrs. Mary Janousek

Title

Office Manager

Phone

(208) 587-8401

Organizations that report the same tax identification number in the National Provider Directory.

• Elmore Medical Center LTC

  • Nursing Facility/Intermediate Care Facility
  • MTN Home, ID
  • NPI 1326166216
  NPD tax ID

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carolyn E Coffman, M.D.

  • Diagnostic Radiology Physician
  • Boise, ID
  • NPI 1285681718
  NPD (past)
• Dennis Dan Crossley, M.D.

  • Family Medicine Physician
  • Mountain Home, ID
  • NPI 1558341594
  NPD (past)
• John A Jackson, M.D.

  • Diagnostic Radiology Physician
  • Boise, ID
  • NPI 1063454122
  NPD (past)
• William L Taylor, M.D.

  • Diagnostic Radiology Physician
  • Boise, ID
  • NPI 1063469500
  NPD (past)
• Ernest Daniel Moreno Dytiapco, MD

  • Nephrology Physician
  • San Luis Obispo, CA
  • NPI 1255629846
  NPD (past)
• Karl H Olson, MD

  • Family Medicine Physician
  • Davenport, WA
  • NPI 1508846353
  NPD (past)

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Elmore Medical Center LTC (2 organizations share this tax ID)

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053472845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1270",
            "city": "MOUNTAIN HOME",
            "state": "ID",
            "postal_code": "83647",
            "telephone_number": "208-587-8401",
            "fax_number": "208-587-8406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 N 6TH E",
            "city": "MOUNTAIN HOME",
            "state": "ID",
            "postal_code": "83647",
            "telephone_number": "208-587-8401",
            "fax_number": "208-587-8406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMORE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JANOUSEK",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-587-8401",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Eichele
• Alisha Elledge, NASM CPT
• Dustin K Elliott, DPT
• Steven Trayce Elliott, D.D.S.
• Elmore County Eyecare, PA.
• Elmore Medical Center Hospital District
• Elmore Medical Center Hospital District
• Elmore Medical Center Hospital District
• Elmore Medical Center Hospital District
• Elmore Medical Center Specialty Physician Group

• All providers in Mountain Home, ID
• Critical Access Hospital in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.