NPIMap

Organization Active NPI

Steele Memorial Medical Center

  • Critical Access Hospital
  • Salmon, ID
National Provider Identifier
1851403265
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
28 Issued in ID
Legal business name
STEELE MEMORIAL MEDICAL CENTER
Practice address
203 S Daisy St
Salmon, ID 83467-0000
Phone
(208) 756-5600
Fax
(208) 756-4169
NPI assigned
Aug 31, 2006
Last updated
Nov 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Authorized official

Name
Ryan Larson
Title
Cfo
Phone
(208) 756-5561

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X NU
Critical Access Hospital 282NC0060X 28 ID Primary

Addresses

Primary practice location

203 S Daisy St
Salmon, ID 83467-0000

Mailing address

PO Box 700
Salmon, ID 83467-0700
Phone (208) 756-5600

Other practice location 1

805 Main St
Salmon, ID 83467-4316
Phone (208) 756-5332

Other identifiers 1

IdentifierTypeStateIssuer
002855100MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040604000056 ID Part B Supplier - Clinic/Group Practice 9436131265 Receives reassigned benefits from 62 practitioners
Practice locations: Salmon, ID
O20061104000469 ID Part A Provider - Critical Access Hospital 9436131265 Receives reassigned benefits from 31 practitioners
Practice locations: Salmon, ID

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851403265. Details of each certification follow.

Hospital certification: CCN 131305

Legal name
STEELE MEMORIAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Dec 14, 1999
Last certification
Aug 13, 2025
Beds
18
Ownership / control type
Local
Organization structure
OtherNon-profit
Enrollment address
203 S Daisy St
Salmon, ID 83467-4709
Main/Primary Hospital Location

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).

Care Compare: Hospital

Medicare Care Compare
Listed as
Steele Memorial Medical CenterCCN 131305 · All quality measures
Overall star rating
3 of 5
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

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

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Preston J Becker Individual Corporate OfficerChief Executive Officer Jul 5, 2022
Operational/Managerial Control Jul 1, 2022
County of Lemhi Organization, Salmon, ID 5% Or Greater Direct Ownership Interest Jan 1, 2000

Owners & managing parties with NPI records 1

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

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 68

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 68

Affiliated clinicians 119

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

View all 119

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1851403265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700",
            "city": "SALMON",
            "state": "ID",
            "postal_code": "834670700",
            "telephone_number": "208-756-5600",
            "fax_number": "208-756-4169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S DAISY ST",
            "city": "SALMON",
            "state": "ID",
            "postal_code": "834670000",
            "telephone_number": "208-756-5600",
            "fax_number": "208-756-4169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 Main St",
            "address_purpose": "LOCATION",
            "city": "Salmon",
            "state": "ID",
            "postal_code": "834674316",
            "country_code": "US",
            "telephone_number": "208-756-5332",
            "fax_number": "208-756-5354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STEELE MEMORIAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "208-756-5561"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "ID",
            "license": "28",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002855100",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salmon, ID

Sources for this page

Verify at the official NPI Registry.