NPIMap

Organization Active NPI

West Valley Medical Center, Inc.

Doing business as West Valley Medical Center

  • General Acute Care Hospital
  • Caldwell, ID
National Provider Identifier
1891732905
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
WEST VALLEY MEDICAL CENTER, INC.
Doing business as
West Valley Medical Center
Practice address
1717 Arlington Ave
Caldwell, ID 83605-4802
Phone
(208) 459-4641
Fax
(208) 455-3717
NPI assigned
May 31, 2006
Last updated
Nov 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Authorized official

Name
Jared Rucks
Title
Cfo
Phone
(208) 459-4641

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X NU
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

1717 Arlington Ave
Caldwell, ID 83605-4802

Mailing address

1717 Arlington Ave
Caldwell, ID 83605-4802
Phone (208) 459-4641

Other identifiers 10

IdentifierTypeStateIssuer
00380OtherIDBLUE CROSS
131642800OtherIDDEPT OF LABOR
027658MedicaidAZ
241100MedicaidID
HS684IPMedicaidAK
0410091MedicaidMT
3019882MedicaidWA
026237MedicaidOR
51180OtherIDBLUE SHIELD
XHSP33105MedicaidCA

Other names 1

  • WEST VALLEY MEDICAL CENTER Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network
Direct Messaging Address WESTVALLEY.COCVT.IDB@CCDA.HCADIRECT.NET

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070806000294 ID Part A Provider - Hospital 3971416470 1 other NPI on this enrollment
Practice locations: Caldwell, ID

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891732905. Details of each certification follow.

Hospital certification: CCN 130014

Legal name
WEST VALLEY MEDICAL CENTER INC
Doing business as
WEST VALLEY MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jun 10, 1968
Last certification
Oct 16, 2025
Beds
150
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Enrollment address
1717 Arlington Ave
Caldwell, ID 83605-4802
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
West Valley Medical CenterCCN 130014 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
West Valley Medical Center Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 3

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

Locations

1150 N Sister Catherine Way
Nampa, ID 83687
Phone (208) 302-7000

520 Medical Dr
Ste 215
Bountiful, UT 84010

Interoperability endpoints

  • Direct secure messaging: westvalley.cocvt.idb@ccda.hcadirect.net

Ownership & related parties

All disclosed owners & managing parties 37

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

NameRoleSinceShare
Kevin McKeown Individual Corporate OfficerDivision Cfo Apr 6, 2026
W-2 Managing EmployeeDivision Cfo Apr 6, 2026
Michael McAlevey Individual Corporate OfficerSenior Vice President Feb 1, 2022
Jaime L Derensis Individual Corporate OfficerVP and Assistant Secretary Nov 4, 2020
HCA Inc Organization, Nashville, TN Corporation, For-profit, Chain home office 5% Or Greater Indirect Ownership Interest May 31, 2007 100%
John M Franck Individual Corporate DirectorVP and Assistant Secretary May 31, 2007
Douglas L Downey Individual Corporate OfficerAssistant Secretary Apr 7, 2014
Eric D Smith Individual Contracted Managing Employee Mar 1, 2021
HCA Healthcare Inc Organization, Nashville, TN Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest May 8, 2017 100%
Henry Todd Maxwell Individual Corporate OfficerVice President Jan 1, 2024
Frisco Holding II Organization, Wilmington, DE For-profit 5% Or Greater Indirect Ownership Interest Feb 6, 2026 16.3%
Evan Ray Individual Corporate OfficerSenior Vice President Mar 1, 2024
Christopher F Wyatt Individual Corporate DirectorSenior Vice President Apr 18, 2016
John I Starling Individual Corporate OfficerAssistant Secretary Oct 7, 2019
Shirley E Scharf-Cheatham Individual Corporate OfficerAssistant Secretary Jan 1, 2010
John M Hackett Individual Corporate OfficerSenior VP and Treasurer Apr 18, 2016
Hercules Holding II Organization, Nashville, TN Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 30, 2016 18%
Samuel N Hazen Individual Corporate DirectorPresident Jan 1, 2010
Ronald Lee Grubbs Individual Corporate OfficerVice President Jan 1, 2010
Monica Cintado Individual Corporate OfficerVice President Oct 7, 2019
Jon Foster Individual Corporate OfficerSenior Vice President Jan 1, 2023
Healthtrust Inc - the Hospital Company Organization, Nashville, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest May 31, 2007 100%
Seth a Killingbeck Individual Corporate OfficerVP and Assistant Secretary Aug 10, 2012
Timothy Scott Noonan Individual Corporate OfficerVice President Apr 5, 2013
Natalie H Cline Individual Corporate OfficerVP and Secretary Apr 5, 2013
Michael T Bray Individual Corporate OfficerVice President Jan 1, 2010
Matthew R Favicchio Individual Corporate OfficerVice President Sep 5, 2025
Peter J Rossell Individual Corporate OfficerVice President Jan 1, 2023
Timothy M McManus Individual Corporate OfficerSenior Vice President Jan 1, 2023
Michael a Marks Individual Corporate OfficerSenior Vice President Sep 5, 2025
Edwin W Robinson Individual Corporate OfficerVice President Sep 5, 2025
Brad Ej Spicer Individual Corporate OfficerVice President Jan 1, 2023
Hti Hospital Holdings Inc Organization, Nashville, TN Corporation, For-profit 5% Or Greater Direct Ownership Interest May 31, 2007 100%
Kevin a Ball Individual Corporate OfficerVP and Assistant Secretary Apr 7, 2014
Jeffery McInturff Individual Corporate OfficerVice President Nov 29, 2021
Jared Rucks Individual Corporate OfficerCfo Mar 1, 2024
W-2 Managing EmployeeCfo Mar 1, 2024
Deborah H Mullin Individual Corporate OfficerAssistant Secretary Jan 1, 2010
Russell Young Individual Corporate Officer Jan 1, 2023

Facilities with the same owner 132

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

View all 132

Practitioners & affiliated clinicians

Practitioners 9

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.

Affiliated clinicians 165

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

View all 165

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1891732905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 ARLINGTON AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054802",
            "telephone_number": "208-459-4641",
            "fax_number": "208-455-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 ARLINGTON AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054802",
            "telephone_number": "208-459-4641",
            "fax_number": "208-455-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VALLEY MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "RUCKS",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "208-459-4641"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00380",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "131642800",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027658",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241100",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HS684IP",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0410091",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3019882",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026237",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "51180",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XHSP33105",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "WESTVALLEY.COCVT.IDB@CCDA.HCADIRECT.NET",
            "affiliation": "N",
            "endpointDescription": "Please contact CORP.HCACEP@HCAHealthcare.com for information regarding validation steps that may be required to ensure CCDs sent to the listed direct address are successfully received",
            "address_1": "1717 Arlington Ave",
            "city": "Caldwell",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836054802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "WEST VALLEY MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WEST VALLEY MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Caldwell, ID

Sources for this page

Verify at the official NPI Registry.