NPIMap

Organization Active NPI

Power County Hospital District

  • Critical Access Hospital
  • American Falls, ID
National Provider Identifier
1609874932
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
25 Issued in ID
Legal business name
POWER COUNTY HOSPITAL DISTRICT
Practice address
510 Roosevelt St
American Falls, ID 83211-1362
Phone
(208) 226-3200
Fax
(208) 226-3223
NPI assigned
Jul 11, 2005
Last updated
Dec 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Authorized official

Name
Danelle Reaves
Title
Patient Accounting Supervisor
Phone
(208) 226-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 25 ID Primary

Addresses

Primary practice location

510 Roosevelt St
American Falls, ID 83211-1362

Mailing address

510 Roosevelt St
PO Box 420
American Falls, ID 83211-1362
Phone (208) 226-3200

Other identifiers 1

IdentifierTypeStateIssuer
002814100MedicaidID

Other names 1

  • HARMS MEMORIAL HOSPITAL Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061104000526 ID Part A Provider - Critical Access Hospital 4587632930 Receives reassigned benefits from 5 practitioners
Practice locations: American Falls, ID

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609874932. Details of each certification follow.

Hospital certification: CCN 131304

Legal name
POWER COUNTY HOSPITAL DISTRICT
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jul 16, 1999
Last certification
Jan 11, 2018
Beds
10
Ownership / control type
Hospital district or authority
Organization structure
GovernmentNon-profit
Enrollment address
510 Roosevelt St
American Falls, ID 83211-1362
Main/Primary Hospital Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Power County Hospital DistrictCCN 131304 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Danelle Reaves Individual W-2 Managing EmployeePatient Accounting Supervisor Apr 26, 2004
Donna Permann Individual Corporate DirectorBoard Member Jan 1, 2023
Jeff Trappett Individual Corporate DirectorBoard Member May 1, 2021
Scott P Conover Individual Operational/Managerial ControlMedical Director Jul 17, 2017
Power County Hospital District Organization, American Falls, ID Non-profit Operational/Managerial Control Apr 1, 2011
Jacklyn Taylor Individual W-2 Managing EmployeeAd; Oct 30, 2025
Operational/Managerial ControlCeo Oct 30, 2025
Shauna Croft Individual W-2 Managing EmployeeCfo Aug 1, 2024
Operational/Managerial ControlCfo Aug 1, 2024
Susan Love Individual Corporate DirectorBoard Member May 1, 2021

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 7

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.

Affiliated clinicians 45

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1609874932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 ROOSEVELT ST",
            "address_2": "PO BOX 420",
            "city": "AMERICAN FALLS",
            "state": "ID",
            "postal_code": "832111362",
            "telephone_number": "208-226-3200",
            "fax_number": "208-226-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 ROOSEVELT ST",
            "city": "AMERICAN FALLS",
            "state": "ID",
            "postal_code": "832111362",
            "telephone_number": "208-226-3200",
            "fax_number": "208-226-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWER COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "REAVES",
        "authorized_official_first_name": "DANELLE",
        "authorized_official_title_or_position": "PATIENT ACCOUNTING SUPERVISOR",
        "authorized_official_telephone_number": "208-226-3200"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "ID",
            "license": "25",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002814100",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HARMS MEMORIAL HOSPITAL",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in American Falls, ID

Sources for this page

Verify at the official NPI Registry.