NPIMap

Organization Active NPI

Weiser Valley Hospital District

  • Family Medicine Physician
  • Weiser, ID
National Provider Identifier
1144516717
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
32 Issued in ID
Legal business name
WEISER VALLEY HOSPITAL DISTRICT
Practice address
360 E Liberty St
Weiser, ID 83672-2261
Phone
(208) 414-1124
Fax
(208) 414-0947
NPI assigned
Jun 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
Pam Stampfli
Title
Cfo
Phone
(208) 549-0370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 32 ID Primary

Addresses

Primary practice location

360 E Liberty St
Weiser, ID 83672-2261

Mailing address

645 E 5TH St
Weiser, ID 83672-2202
Phone (208) 549-0370

Other identifiers 2

IdentifierTypeStateIssuer
121244MedicaidOR
1255364030MedicaidID

Other names 2

  • Family Medical Clinic Other name
  • Weiser Physicians Clinic - Blue Cross Other name

National Provider Directory

National Provider Directory
Tax ID family
Memorial Hospitals ER P4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1144516717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 E 5TH ST",
            "city": "WEISER",
            "state": "ID",
            "postal_code": "836722202",
            "telephone_number": "208-549-0370",
            "fax_number": "208-414-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E LIBERTY ST",
            "city": "WEISER",
            "state": "ID",
            "postal_code": "836722261",
            "telephone_number": "208-414-1124",
            "fax_number": "208-414-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEISER VALLEY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "STAMPFLI",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "208-549-0370"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "32",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121244",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255364030",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medical Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Weiser Physicians Clinic - Blue Cross",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Weiser, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.