NPIMap

Organization Active NPI

Walter Knox Memorial Hospital

Doing business as Valor Health - Emmett Medical Center

  • Rural Health Clinic/Center
  • Emmett, ID
National Provider Identifier
1821091083
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
13-8525 Issued in ID
Legal business name
WALTER KNOX MEMORIAL HOSPITAL
Doing business as
Valor Health - Emmett Medical Center
Practice address
2135 S Sub Station Rd
Emmett, ID 83617-9045
Phone
(208) 488-6300
Fax
(208) 488-6350
NPI assigned
May 23, 2005
Last updated
Sep 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Authorized official

Name
Brad Turpen
Title
Ceo
Phone
(208) 365-3561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 13-8525 ID Primary

Addresses

Primary practice location

2135 S Sub Station Rd
Emmett, ID 83617-9045

Mailing address

1202 E Locust St
Emmett, ID 83617-2715
Phone (208) 365-3561

Other identifiers 11

IdentifierTypeStateIssuer
806367900MedicaidID
000269700MedicaidID
805187500MedicaidID
807437800MedicaidID
002563800MedicaidID
8E001OtherIDBLUE CROSS OF IDAHO GROUP
002563400MedicaidID
000010006204OtherIDREGENCE BLUE SH OF ID GRP
138525OtherUNSPECIFIED
13-8525OtherIDRURAL HEALTH CLINIC PTAN
138525OtherIDMEDICARE PTAN

Other names 1

  • Valor Health - Emmett Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, AL, TX, FL, SC, IN, OR, WA, NC10 enrollments

Enrollment records 10

Enrollment IDStateProvider typePAC IDDetails
O20040514000512 ID Part B Supplier - Clinic/Group Practice 7012907785 Receives reassigned benefits from 64 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Emmett, ID
O20160617000571 ID Part A Provider - Rural Health Clinic 7012907785 Practice locations: Emmett, ID
O20250401001135 AL Part B Supplier - Clinic/Group Practice 7012907785 Receives reassigned benefits from 1 practitioner
Practice locations: Summerdale, AL
O20250411001947 TX Part B Supplier - Clinic/Group Practice 7012907785 Receives reassigned benefits from 1 practitioner
Practice locations: Fredericksburg, TX
O20250422000144 FL Part B Supplier - Clinic/Group Practice 7012907785 Receives reassigned benefits from 1 practitioner
Practice locations: High Springs, FL
O20250423003857 SC Part B Supplier - Clinic/Group Practice 7012907785 Receives reassigned benefits from 1 practitioner
Practice locations: Tega Cay, SC
O20250430003010 IN Part B Supplier - Clinic/Group Practice 7012907785 Receives reassigned benefits from 1 practitioner
Practice locations: Indianapolis, IN
O20250609001394 OR Part B Supplier - Clinic/Group Practice 7012907785 Receives reassigned benefits from 1 practitioner
Practice locations: Portland, OR
O20250722003850 WA Part B Supplier - Clinic/Group Practice 7012907785 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Stevens, WA
O20251013002149 NC Part B Supplier - Clinic/Group Practice 7012907785 Practice locations: Fayetteville, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821091083. Details of each certification follow.

Rural health clinic certification: CCN 138525

Legal name
WALTER KNOX MEMORIAL HOSPITAL
Doing business as
VALOR HEALTH
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 8, 2015
Last certification
Mar 2, 2026
Ownership / control type
1B
Organization structure
GovernmentNon-profit
Incorporated
Sep 1, 1963 in ID
Enrollment address
2135 S Sub Station Rd
Emmett, ID 83617-9045
Related CCNs
131318

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

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 1

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

Locations

1102 E Locust St
Emmett, ID 83617
Phone (208) 365-6004

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Michael Sokolowski Individual Corporate Officer Jun 1, 2026
Kathleen Beevers Individual W-2 Managing Employee Jun 1, 2026
County of Gem Organization, Emmett, ID 5% Or Greater Direct Ownership Interest Nov 27, 2007 100%
Erika Perez Individual Contracted Managing EmployeeClinic Manager Jan 1, 2022
Bradley Turpen Individual Corporate OfficerChief Executive Officer May 1, 2018

Owners & managing parties with NPI records 1

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

  • County of Gem

    dba Gem County Ambulance

    • Land Ambulance
    • Emmett, ID
    • NPI 1912915448

    5% Or Greater Direct Ownership Interest

    CMS ownership

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 31

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.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1821091083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 E LOCUST ST",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836172715",
            "telephone_number": "208-365-3561",
            "fax_number": "208-365-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 S SUB STATION RD",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836179045",
            "telephone_number": "208-488-6300",
            "fax_number": "208-488-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER KNOX MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "TURPEN",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-365-3561"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "ID",
            "license": "13-8525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806367900",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000269700",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805187500",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807437800",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002563800",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO GROUP",
            "identifier": "8E001",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002563400",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SH OF ID GRP",
            "identifier": "000010006204",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNSPECIFIED",
            "identifier": "138525",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RURAL HEALTH CLINIC PTAN",
            "identifier": "13-8525",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "138525",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valor Health - Emmett Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Valor Health - Emmett Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Emmett, ID

Sources for this page

Verify at the official NPI Registry.