NPI age
19 years
Enumerated 2006-11-29
● Active Type 2 · Organization
Minidoka Memorial Hospital
Minidoka Memorial Hospital is 1 of 61 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Murphy
Administrator
Last NPPES update
2025-03-26
Source: monthly bulk 2026-05
How this organization compares
Across 61 active clinic/center providers in Idaho.
NPI age
19 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1308 8th St, Suite 1
Rupert, ID 833501530
Mailing address
1308 8th St, Suite 1
Rupert, ID 833501530
Authorized official
Thomas J Murphy
Administrator
📞 2084368141
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Tanya Crystal, FNP-C Nurse Practitioner NPI 1982051751
- Shawna McCaffrey, FNP-C Nurse Practitioner NPI 1205312774
- Nichole Shumway, DO Internal Medicine NPI 1386263796
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 74146 | BLUE CROSS |
| 05 (ID) | M8073867 | |
| 01 (ID) | 00001002451 | BLUE SHIELD |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Minidoka Medical Center
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 61 Clinic/Center providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.