Public Health District 1

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

PUBLIC HEALTH DISTRICT 1

Doing business as

Panhandle Health District

Practice address

8500 N Atlas Rd
Hayden, ID 83835-8332

Phone

(208) 415-5100

Fax

(208) 415-5161

NPI assigned

Jul 24, 2006

Last updated

Mar 16, 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

Mr. Donald Duffy

Title

Director

Phone

(208) 415-5163

Specialties & licenses 1

Addresses

Other identifiers 14

Other names 1

• Panhandle Health District Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Public Health District 1

  dba Panhandle Health District 1/ Diabetes Prevention Program

  • State or Local Public Health Clinic/Center
  • Hayden, ID
  • NPI 1427616846

  7911923016

  Same PAC ID

Locations

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.

• Katelin Nicole Arnold, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Hayden, ID
  • NPI 1598393050
  Medicare reassignment Care Compare group NPD
• Levi Michael Maeschen, MS, RD, CSCS

  • Registered Dietitian
  • Riverside, CA
  • NPI 1942818844

  ID

  Medicare reassignment Care Compare group NPD
• Ashley Mary Johnson

  • Family Nurse Practitioner
  • Meridian, ID
  • NPI 1548108772
  Medicare reassignment Care Compare group
• Kristy Brigham, FNP-BC

  • Family Nurse Practitioner
  • Coeur d'Alene, ID
  • NPI 1134749898
  NPD

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1841212933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 N ATLAS ROAD",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838357677",
            "telephone_number": "208-786-7474",
            "fax_number": "208-786-7109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 N ATLAS RD",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358332",
            "telephone_number": "208-415-5100",
            "fax_number": "208-415-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIC HEALTH DISTRICT 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "208-415-5163",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000270500",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002470500",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "DH116",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD OF ID",
            "identifier": "000010023565",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "DH124",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD OF ID",
            "identifier": "000010024099",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD OF ID",
            "identifier": "000010021347",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002834500",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002843400",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "DH0017",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD OF ID",
            "identifier": "000010018276",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "DH132",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD OF ID",
            "identifier": "000010008200",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "DJ780",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Panhandle Health District",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Panhandle Health District",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Priebe, DC
• Randall P Priebe, D.C.
• Progressive Behavior Services
• Progressive Behavior Services
• Public Health District 1 (Panhandle Health District 1/ Diabetes Prevention Program)
• Public Health District 1 (Panhandle Home Health)
• Victoria Ann Purviance, LCPC
• Ram DC Inc (Discover Chiropractic)
• Ramsey Dental Group PLLC
• Lady-Jean M Ramsey, DMD

• Public Health or Welfare Agency in Hayden, ID
• Providers in Hayden, ID by specialty
• Public Health or Welfare Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.