NPIMap

Organization Active NPI

Lost Rivers District Hospital

Doing business as Lost Rivers Living Center

  • Assisted Living Facility
  • Arco, ID
National Provider Identifier
1689672495
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
H45 Issued in ID
Legal business name
LOST RIVERS DISTRICT HOSPITAL
Doing business as
Lost Rivers Living Center
Practice address
551 Highland Dr
Arco, ID 83213-9771
Phone
(208) 527-8206
Fax
(208) 527-3430
NPI assigned
Jul 14, 2005
Last updated
Jan 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Authorized official

Name
Mr. Kim Dahlman
Title
Ceo
Phone
(208) 527-8206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X H45 ID Primary

Addresses

Primary practice location

551 Highland Dr
Arco, ID 83213-9771

Mailing address

PO Box 145
Arco, ID 83213-0145
Phone (208) 527-8206

Other identifiers 1

IdentifierTypeStateIssuer
002301800MedicaidID

Other names 1

  • LOST RIVERS LIVING CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lost Rivers Hospital7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1689672495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 145",
            "city": "ARCO",
            "state": "ID",
            "postal_code": "832130145",
            "telephone_number": "208-527-8206",
            "fax_number": "208-527-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 HIGHLAND DR",
            "city": "ARCO",
            "state": "ID",
            "postal_code": "832139771",
            "telephone_number": "208-527-8206",
            "fax_number": "208-527-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOST RIVERS DISTRICT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "DAHLMAN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-527-8206",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ID",
            "license": "H45",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002301800",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOST RIVERS LIVING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arco, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.