NPIMap

Organization Active NPI

Family Medical Care Clinics Corporation a Professional Association

  • Family Medicine Physician
  • Hayden, ID
National Provider Identifier
1942730775
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY MEDICAL CARE CLINICS CORPORATION A PROFESSIONAL ASSOCIATION
Practice address
265 W Prairie Shopping Ctr
Hayden, ID 83835-9855
Phone
(208) 772-7850
Fax
(208) 772-2313
NPI assigned
Jun 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
John L Torquato, MDNPI 1417901638
Title
President
Phone
(208) 772-7850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

265 W Prairie Shopping Ctr
Hayden, ID 83835-9855

Mailing address

PO Box 38
Hayden, ID 83835-0038
Phone (208) 772-7850

Other practice location 1

12405 N. Wilson St
Mead, WA 99021
Phone (208) 772-7850

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20171127003248 WA Part B Supplier - Clinic/Group Practice 5890066591 Receives reassigned benefits from 1 practitioner
Practice locations: Mead, WA
O20180309001748 ID Part B Supplier - Clinic/Group Practice 5890066591 Receives reassigned benefits from 2 practitioners
Practice locations: Hayden, ID

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1942730775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838350038",
            "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": [
        {
            "address_1": "12405 N. Wilson St",
            "address_purpose": "LOCATION",
            "city": "Mead",
            "state": "WA",
            "postal_code": "99021",
            "country_code": "US",
            "telephone_number": "208-772-7850",
            "fax_number": "208-772-2313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY MEDICAL CARE CLINICS CORPORATION A PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-14",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "TORQUATO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-772-7850",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Mar 17, 2018; 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.