NPIMap

Organization Active NPI

Rupert Medical Center Partnership

  • Family Medicine Physician
  • Rupert, ID
National Provider Identifier
1982786232
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RUPERT MEDICAL CENTER PARTNERSHIP
Practice address
1218 9TH St Ste 7
Rupert, ID 83350-2207
Phone
(208) 436-3161
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Authorized official

Name
Kerry SaureyNPI 1598798282
Title
Owner
Phone
(208) 436-4232

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ID Primary

Addresses

Primary practice location

1218 9TH St Ste 7
Rupert, ID 83350-2207

Mailing address

1218 9TH St Ste 7
Rupert, ID 83350-2207

Other identifiers 1

IdentifierTypeStateIssuer
002262800MedicaidID

National Provider Directory

National Provider Directory

Locations

1218 9th St
Ste 7
Rupert, ID 83350
Phone (208) 436-3161

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": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420502400000",
    "number": "1982786232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 9TH ST STE 7",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "833502207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 9TH ST STE 7",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "833502207",
            "telephone_number": "208-436-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUPERT MEDICAL CENTER PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2015-01-06",
        "status": "A",
        "authorized_official_last_name": "SAUREY",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-436-4232"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002262800",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rupert, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.