NPIMap

Organization Active NPI

Gooding County Hospital District

  • Critical Access Hospital
  • Gooding, ID
National Provider Identifier
1295769537
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
19 Issued in ID
Legal business name
GOODING COUNTY HOSPITAL DISTRICT
Practice address
1120 Montana St
Gooding, ID 83330-1858
Phone
(208) 934-4433
Fax
(208) 934-8643
NPI assigned
Jul 11, 2006
Last updated
Dec 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Authorized official

Name
Earl Emmert Fitzpatrick
Title
Ceo
Phone
(208) 934-4433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 19 ID Primary

Addresses

Primary practice location

1120 Montana St
Gooding, ID 83330-1858

Mailing address

1120 Montana St
PO Box 418
Gooding, ID 83330-1858
Phone (208) 934-4433

Other identifiers 2

IdentifierTypeStateIssuer
00075OtherIDBLUS CROSS
051280OtherIDBLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 67

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.

View all 67

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1295769537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 MONTANA ST",
            "address_2": "PO BOX 418",
            "city": "GOODING",
            "state": "ID",
            "postal_code": "833301858",
            "telephone_number": "208-934-4433",
            "fax_number": "208-934-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 MONTANA ST",
            "city": "GOODING",
            "state": "ID",
            "postal_code": "833301858",
            "telephone_number": "208-934-4433",
            "fax_number": "208-934-8643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODING COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "EMMERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-934-4433"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "ID",
            "license": "19",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUS CROSS",
            "identifier": "00075",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "051280",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gooding, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.