Organization Active NPI

Treasure Valley Hospital Limited Partnership

  • Special Hospital
  • Boise, ID
National Provider Identifier
1720040132
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
Legal business name
TREASURE VALLEY HOSPITAL LIMITED PARTNERSHIP
Practice address
8800 W Emerald St
Boise, ID 83704-8205
Phone
(208) 373-5000
NPI assigned
Apr 3, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Lea Harbor
Title
VP
Phone
(205) 545-2572

Owners & managing parties with NPI records 35

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

View all 35

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

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

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 144

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

View all 144

Care Compare: Hospital

Medicare Care Compare
Listed as
Treasure Valley HospitalCCN 130063
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D2166388Treasure Valley Hospital8800 West Emerald St, Boise, ID 83704AccreditationAug 19, 2026

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040331000940 ID Part a Provider - Hospital 5698767630 Practice locations: Boise, ID

Hospital certification: CCN 130063

Medicare enrollment files
Legal name
TREASURE VALLEY HOSPITAL LIMITED PARTNERSHIP
Doing business as
TREASURE VALLEY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Nov 11, 1996
Last certification
Dec 17, 2002
Beds
20
Ownership / control type
Private (for profit)
Organization structure
PartnershipProprietary
Enrollment address
8800 W Emerald St
Boise, ID 83704-8205
Other Hospital Practice Location
Hospital subgroups
Specialty hospital

All disclosed owners & managing parties 63

Medicare enrollment files

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

NameRoleSinceShare
Steven W Williams Individual Limited Partnership InterestIndirect Owner Jan 1, 2013
Curran Orthopedics, LLC Organization, Meridian, ID Created for acquisition, LLC Limited Partnership Interest Jul 1, 2020 2.32%
Jennifer R Miller Individual Limited Partnership Interest Oct 15, 2009 2.28%
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation 5% Or Greater Indirect Ownership Interest Mar 24, 2017 40.63%
Nicholas John Genna Individual Contracted Managing Employee Apr 14, 2017
Corporate OfficerChief Administrative Officer Apr 14, 2017
Troy B Watkins Individual Limited Partnership Interest Feb 15, 2007 0.76%
George a Nicola Individual Limited Partnership Interest Jul 15, 2016 0.87%
Steven B Daines Individual Limited Partnership Interest Jul 1, 2021 2%
Keith G Holley Individual Limited Partnership Interest Jun 28, 2012 1.41%
Collaborative Care Holdings LLC Organization, Minnetonka, MN LLC 5% Or Greater Indirect Ownership Interest Mar 24, 2017 40.63%
Tadje Orthopaedics LLC Organization, Meridian, ID LLC Limited Partnership Interest Jan 1, 2016 1.66%
Scai Holdings LLC Organization, Minnetonka, MN LLC 5% Or Greater Indirect Ownership Interest Mar 24, 2017 40.63%
Ladd W Mark Individual Corporate OfficerVice Pres Direct of General Partner Jul 1, 2018
Corporate DirectorVice Pres Direct of General Partner Jul 1, 2018
Operational/Managerial ControlVice Pres Direct of General Partner Jul 1, 2018
United Healthcare Services Inc Organization, Minnetonka, MN Corporation 5% Or Greater Indirect Ownership Interest Mar 24, 2017 40.63%
Thomas C Manning Individual Limited Partnership Interest Jun 28, 2012 3.22%
Jeremy P Toomey Individual Limited Partnership Interest Aug 1, 2019 1.06%
Ryan Douglas Applonie Individual Limited Partnership Interest Oct 14, 2021 0.25%
Victory Surgical Services PLLC Organization, Nampa, ID LLC Limited Partnership Interest Jan 1, 2013 1.66%
Patrick N Walker Individual Corporate OfficerVice Pres Direct of General Partner Jul 1, 2018
Corporate DirectorVice Pres Direct of General Partner Jul 1, 2018
Operational/Managerial ControlVice Pres Direct of General Partner Jul 1, 2018
John Q Smith Individual Limited Partnership Interest Jun 15, 2020 0.23%
Tildon C Robinson Individual Limited Partnership Interest Aug 6, 2008 2.28%
Kelly Bridges Neurosurgery TVH, LLC Organization, Eagle, ID LLC Limited Partnership Interest Jun 15, 2020 0.76%
Richard a Lochhead Individual Limited Partnership InterestIndirect Owner Aug 1, 2018
Miers C Johnson Individual Limited Partnership Interest Apr 10, 2009 1.75%
Joseph R Lynch Individual Limited Partnership InterestIndirect Owner Dec 17, 2017
Severn Berch, LLC Organization, Boise, ID Created for acquisition, LLC Limited Partnership Interest Dec 1, 2017 2.25%
Paul J Montalbano Individual Limited Partnership Interest Jan 1, 2012 1.94%
Anesthesiology Consultants of Treasure Valley PLLC Organization, Boise, ID Created for acquisition, Investment firm, Financial institution Limited Partnership Interest Feb 21, 2017 0.36%
Timothy J Johans Individual Limited Partnership Interest Oct 1, 2015 1.75%
El Alto Medical, LLC Organization, Meridian, ID LLC Limited Partnership Interest Oct 1, 2020 1.08%
Sca Holdco, Inc. Organization, Minnetonka, MN Corporation, Holding company 5% Or Greater Indirect Ownership Interest Jan 1, 2018 40.63%
Jordan G Jones Individual Corporate DirectorDirector of the General Partner Apr 15, 2017
Blue Cross of Idaho Organization, Meridian, ID Corporation, Holding company Limited Partnership Interest Jun 29, 2020 3.08%
Mark a Spelich Individual Limited Partnership Interest Jun 28, 2012 0.97%
Surgical Health LLC Organization, Birmingham, AL LLC, Holding company 5% Or Greater Direct Ownership Interest Jul 1, 2007 38.5%
General Partnership Interest Jul 1, 2007 16.85%
Limited Partnership Interest Jul 1, 2007 22.39%
Thomas M Chopp Individual Limited Partnership Interest Oct 31, 2008 1.89%
Catherine Layton Individual Corporate OfficerChief Financial Officer Apr 1, 2017
Surgical Care Affiliates LLC Organization, Birmingham, AL Management services company 5% Or Greater Indirect Ownership Interest Jul 1, 2007 40.63%
Operational/Managerial Control Jul 1, 2007 40.63%
Optumhealth Holdings LLC Organization, Minnetonka, MN LLC 5% Or Greater Indirect Ownership Interest Mar 24, 2017 40.63%
Optum Inc Organization, Eden Prairie, MN Corporation 5% Or Greater Indirect Ownership Interest Mar 24, 2017 40.63%
Montalbano Family Foundation I, Inc. Organization, Boise, ID Corporation Limited Partnership Interest Jan 1, 2022 1.66%
Michael J Gustavel Individual Limited Partnership Interest Oct 15, 2009 2.76%
Jared P Tadje Individual Limited Partnership InterestIndirect Owner Jan 1, 2016
Michael T Daines Individual Limited Partnership Interest Dec 30, 2016 0.9%
William C Lindner Individual Limited Partnership Interest Dec 27, 2012 1.41%
NLG, LLC Organization, Boise, ID LLC Limited Partnership Interest Oct 1, 2021 1%
Michael V Hajjar Individual Limited Partnership Interest Oct 1, 2015 1.88%
Michael J Shevlin Individual Limited Partnership Interest Aug 21, 2019 0.23%
Colin E Poole Individual Limited Partnership Interest Jun 15, 2020 2.1%
Treasure Valley Entities, LLC Organization, Middleton, ID Created for acquisition, LLC Limited Partnership Interest Aug 1, 2018 1.86%
Andrew R Curran Individual Limited Partnership Interest Jul 1, 2020 0.2%
Travis J Kemp Individual Limited Partnership Interest Jun 30, 2014 1.64%
Donald J Beasley Individual Limited Partnership Interest Jan 24, 2012 3.08%
TVH-Ismi, LLC Organization, Boise, ID LLC Limited Partnership Interest Aug 17, 2022 0.61%
Jared S Johnson Individual Limited Partnership Interest Oct 1, 2020 1.08%
Mountain West Ira Inc Trust Admin Organization, Boise, ID Financial institution Limited Partnership Interest Oct 1, 2015 2.5%
Kelly Jean Bridges Individual Limited Partnership InterestOwner of Kelly Bridges Neurosurgery Jun 15, 2020
Anesthesiology Consultants of Idaho Organization, Caldwell, ID Created for acquisition, Financial institution Limited Partnership Interest Aug 9, 2019 0.25%
James Alan Olson Individual Limited Partnership Interest Aug 26, 2019 0.23%
Ciara R Huntington Individual Limited Partnership Interest Jun 15, 2020 0.23%
Matt Mors Individual Limited Partnership Interest Jun 18, 2020 0.47%
Nathan Lewis Grimm Individual Limited Partnership Interest Oct 1, 2021 0.2%
Jared T Armstrong Individual Limited Partnership Interest Jul 1, 2023 2%

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X Primary

Addresses

NPPES NPI Registry

Primary practice location

8800 W Emerald St
Boise, ID 83704-8205

Mailing address

8800 W Emerald St
Boise, ID 83704-8205

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 29, 2015.

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1720040132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048205",
            "telephone_number": "208-373-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE VALLEY HOSPITAL LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "HARBOR",
        "authorized_official_first_name": "LEA",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "205-545-2572"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.