Active NPI
1St Clinic
- Health Service Clinic/Center
- Hayden, ID
National Provider Identifier
1841444015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- C158693 INC.STATEID
- Legal business name
- 1ST CLINIC
- Practice address
- 265 W Prairie Shopping Ctr
Hayden, ID 83835-9855 - Phone
- (208) 772-7850
- Fax
- (208) 772-2313
- NPI assigned
- Nov 13, 2008
- Last updated
- Nov 13, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John L. Torquato, MD
- Title
- Contract Physician
- Phone
- (208) 772-7850
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | C158693 INC.STATEID | ID | Primary |
Addresses
Primary practice location
265 W Prairie Shopping Ctr
Hayden, ID 83835-9855
Mailing address
265 W Prairie Shopping Ctr
Hayden, ID 83835-9855
Phone (208) 772-7850
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Hayden, ID
- NPI 1417901638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226534400000",
"number": "1841444015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 W PRAIRIE SHOPPING CTR",
"city": "HAYDEN",
"state": "ID",
"postal_code": "838359855",
"telephone_number": "208-772-7850",
"fax_number": "208-772-2313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 W PRAIRIE SHOPPING CTR",
"city": "HAYDEN",
"state": "ID",
"postal_code": "838359855",
"telephone_number": "208-772-7850",
"fax_number": "208-772-2313"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "1ST CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-13",
"last_updated": "2008-11-13",
"status": "A",
"authorized_official_last_name": "TORQUATO",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "CONTRACT PHYSICIAN",
"authorized_official_telephone_number": "208-772-7850",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "ID",
"license": "C158693 INC.STATEID",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hayden, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.