NPIMap

Organization Active NPI

Idaho Minor Emergency and Family Practice PA

  • Clinic/Center
  • Meridian, ID
National Provider Identifier
1205996063
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
IDAHO MINOR EMERGENCY AND FAMILY PRACTICE PA
Practice address
3041 East Copper Pointe Drive
Meridian, ID 83642
Phone
(208) 514-4400
Fax
(208) 514-4404
NPI assigned
Dec 11, 2006
Last updated
Mar 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Authorized official

Name
Mr. Raymond Paul Hooft, M.D.NPI 1114974326
Title
Owner, Ceo
Phone
(208) 514-4400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3041 East Copper Pointe Drive
Meridian, ID 83642

Mailing address

3041 East Copper Pointe Drive
Meridian, ID 83642
Phone (208) 514-4400

Other identifiers 1

IdentifierTypeStateIssuer
13D1049440OtherIDCLIA NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1205996063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 EAST COPPER POINTE DRIVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83642",
            "telephone_number": "208-514-4400",
            "fax_number": "208-514-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 EAST COPPER POINTE DRIVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83642",
            "telephone_number": "208-514-4400",
            "fax_number": "208-514-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO MINOR EMERGENCY AND FAMILY PRACTICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "HOOFT",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "208-514-4400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA NUMBER",
            "identifier": "13D1049440",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.