NPIMap

Organization Active NPI

Walter Knox Memorial Hospital

  • Rural Health Clinic/Center
  • Emmett, ID
National Provider Identifier
1114374055
Registry record updated May 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
WALTER KNOX MEMORIAL HOSPITAL
Practice address
119 N Wardwell Ave
Emmett, ID 83617-3040
Phone
(208) 365-6311
Fax
(208) 365-1003
NPI assigned
May 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Becky Malaxechebarria
Title
Business Office Manager
Phone
(208) 901-3204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

119 N Wardwell Ave
Emmett, ID 83617-3040

Mailing address

119 N Wardwell Ave
Emmett, ID 83617-3040
Phone (208) 365-6311

Other names 1

  • Valor Health Family Medicine Other name

National Provider Directory

National Provider Directory
Tax ID family
Walter Knox Me Morial Hos5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463702400000",
    "number": "1114374055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 N WARDWELL AVE",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836173040",
            "telephone_number": "208-365-6311",
            "fax_number": "208-365-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 N WARDWELL AVE",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836173040",
            "telephone_number": "208-365-6311",
            "fax_number": "208-365-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER KNOX MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-20",
        "last_updated": "2016-05-20",
        "status": "A",
        "authorized_official_last_name": "MALAXECHEBARRIA",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "208-901-3204"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valor Health Family Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Emmett, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.