Active NPI
Haley J Minnehan, MD
- Family Medicine Physician
- Cottonwood, ID
National Provider Identifier
1316940232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M7798
- Practice address
- 701 Lewiston St
Cottonwood, ID 83522-9750 - Phone
- (208) 962-3267
- Fax
- (208) 962-2313
- NPI assigned
- May 24, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M7798 | ID | Primary |
Addresses
Primary practice location
701 Lewiston St
Cottonwood, ID 83522-9750
Mailing address
701 Lewiston St
Cottonwood, ID 83522-9750
Phone (208) 962-3267
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 805196200 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050707001037 | ID | Practitioner - Family Practice | 7517913056 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Washington School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Marys Hospital Inc
Practice addresses (Care Compare)
501 Oak St
Nezperce, ID 83543-5064
Phone (208) 937-2496
701 Lewiston St
Cottonwood, ID 83522-9750
Phone (208) 962-3251
Hospital & facility affiliations
- Syringa General Hospital Hospice
- St Mary'S Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.65 of 100
- Quality
- 89.26
- Promoting interoperability
- 69.9
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M7798 | ID | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Mary'S Hospital Inc | Family Medicine | Current | Accepting new patients |
| St. Mary'S Hospital Inc | Family Medicine | Current | Accepting new patients |
| St. Mary'S Hospital Inc | Family Medicine | Past | Accepting new patients |
| St. Mary'S Hospital Inc | Family Medicine | Past | Accepting new patients |
Locations
701 Lewiston St
Cottonwood, ID 83522
Phone (208) 962-3251
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medicare Defined Swing Bed Hospital Unit
- Cottonwood, ID
- NPI 1669493417
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Durable Medical Equipment & Medical Supplies
- Cottonwood, ID
- NPI 1174673552
Hospital
-
- Community Based Hospice Care Agency
- Grangeville, ID
- NPI 1225162019
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628208000000",
"number": "1316940232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 LEWISTON ST",
"city": "COTTONWOOD",
"state": "ID",
"postal_code": "835229750",
"telephone_number": "208-962-3267",
"fax_number": "208-962-2313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 LEWISTON ST",
"city": "COTTONWOOD",
"state": "ID",
"postal_code": "835229750",
"telephone_number": "208-962-3267",
"fax_number": "208-962-2313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINNEHAN",
"first_name": "HALEY",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-24",
"last_updated": "2021-08-06",
"certification_date": "2021-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "M7798",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805196200",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cottonwood, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.