Steele Memorial Medical Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

STEELE MEMORIAL MEDICAL CENTER

Doing business as

Steele Memorial Medical Clinic

Practice address

805 Main St
Salmon, ID 83467-4316

Phone

(208) 756-6212

Fax

(208) 756-6336

NPI assigned

Nov 1, 2022

Last updated

Nov 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ryan Larson

Title

Cfo

Phone

(208) 756-5616

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Steele Memorial Medical Clinic Doing business as

Electronic endpoints 1

Practitioners 4

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.

• Richard M Natelson, MD

  • Obstetrics & Gynecology Physician
  • Salmon, ID
  • NPI 1568588697
  NPD (past)
• Lance Wesley Port, PA-C

  • Medical Physician Assistant
  • Salmon, ID
  • NPI 1578222188
  NPD (past)
• Austin Troy Vanorden, PA

  • Physician Assistant
  • Salmon, ID
  • NPI 1437847662
  NPD (past)
• Susan J Svientek, M.D.

  • Obstetrics & Gynecology Physician
  • Normal, IL
  • NPI 1023120227
  NPD (past)

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1407563265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700",
            "city": "SALMON",
            "state": "ID",
            "postal_code": "834670700",
            "telephone_number": "208-756-5698",
            "fax_number": "208-756-5826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 MAIN ST",
            "city": "SALMON",
            "state": "ID",
            "postal_code": "834674316",
            "telephone_number": "208-756-6212",
            "fax_number": "208-756-6336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 S Daisy St",
            "address_purpose": "LOCATION",
            "city": "Salmon",
            "state": "ID",
            "postal_code": "834674709",
            "country_code": "US",
            "telephone_number": "208-756-5896",
            "fax_number": "208-756-5826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STEELE MEMORIAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "208-756-5616"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINIC-BLUE CROSS",
            "identifier": "00356",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1254505",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID-CLINIC",
            "identifier": "133996",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8D145",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gloria.sacco@steelemed.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "203 S Daisy St",
            "city": "Salmon",
            "state": "ID",
            "country_code": "US",
            "postal_code": "834674709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Steele Memorial Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Sessions
• Marquee Jo Shiner, LMT
• Shopko Stores Operating Co., LLC (Shopko Pharmacy 795)
• Bruce Slavin, O.D.
• St Patrick Hosp and Health Sci Ctr (International Heart Instute of Montana)
• Steele Memorial Medical Center
• Steele Memorial Medical Center
• Steele Memorial Medical Center
• Annie M Stokes, LMSW
• Cristianna F Sullivan, MD,

• Clinic/Center in Salmon, ID
• Providers in Salmon, ID by specialty
• Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.