IDAHO PHYSICIANS CLINIC
NPI 1114907532
Clinic/center, Rural Health in Blackfoot,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 20, 2006

Contact Information

98 Poplar St
Blackfoot,
Post Code: 83221
Phone: (208) 785-3800
Fax: -

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Idaho Physicians Clinic in Blackfoot - Clinic/Center, Rural Health

Idaho Physicians Clinic is a Clinic/Center, Rural Health in Blackfoot, . Idaho Physicians Clinic practices all healthcare services and medical treatments related to Clinic/Center, Rural Health. The NPI Number for Idaho Physicians Clinic is 1114907532. The last update date is 2020-08-22.

Idaho Physicians Clinic's current location address is 98 Poplar St, Blackfoot, . You can contact this provider via phone number (208) 785-3800 and fax number -. The mailing address for Idaho Physicians Clinic is 98 Poplar St, Blackfoot, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1114907532
Provider Legal Name
IDAHO PHYSICIANS CLINIC
Other Organization Name
IDAHO PHYSICIANS CLINIC
Other Name Type
-
Entity Type
Organization
Location Address
98 Poplar St, Blackfoot,
Location Phone
(208) 785-3800
Location Fax
-
Mailing Address
98 Poplar St, Blackfoot, Idaho(ID)
Mailing Phone
208-785-3800
Mailing Fax
-
Enumeration Date
2006-01-20
Last Update Date
2020-08-22
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center, Rural Health

Taxonomy Code
261QR1300X
Type
-
License No.
36
License State
Idaho (ID)
Taxonomy Description
-

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000010137702 Other (non-Medicare) (01) Idaho (ID) Blue Shield provider #
806286700 MEDICAID (05) Idaho (ID)
8F496 Other (non-Medicare) (01) Idaho (ID) Blue Cross provider #

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114907532
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21241801456
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 21241801456
2 + 1 + 2 + 4 + 1 + 8 + 0 + 1 + 4 + 5 + 6 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 2 2

The NPI number 1114907532 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053314864 ALVIN JACKSON SECREST
Individual
Family Medicine 701 LEWISTON ST
COTTONWOOD, Idaho (ID)
208-962-3267
1003819509 JULIA MARIE JENSEN
Individual
Family Medicine 211 16TH AVE N
NAMPA, Idaho (ID)
208-467-4431
1093718702 SHANNON DEE GAERTNER-EWING
Individual
Chiropractor, Nutrition 217 W GEORGIA AVE STE 120
NAMPA, Idaho (ID)
208-467-5994
1003819459 MARK J BOERNER
Individual
Ophthalmology 111 W MAIN ST STE 200
BOISE, Idaho (ID)
208-344-3220
1063415404 CHRISTINE C SCHALLER
Individual
Family Medicine 2315 8TH ST
LEWISTON, Idaho (ID)
208-983-5120