NPI age
20 years
Enumerated 2005-07-06
● Active Type 2 · Organization
Walter Knox Memorial Hospital
Walter Knox Memorial Hospital is 1 of 55 general acute care hospital organizations in Idaho.
Primary specialty
General Acute Care Hospital
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Stampfli
Cfo
Last NPPES update
2019-11-07
Source: monthly bulk 2026-05
How this organization compares
Across 55 active general acute care hospital providers in Idaho.
NPI age
20 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2005 → 2026
2005-07Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
1202 E Locust St
Emmett, ID 836172715
Mailing address
1202 E Locust St
Emmett, ID 836172715
Authorized official
Pam Stampfli
Cfo
📞 2089013213
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Malerie Bettfreund, LMSW Social Worker NPI 1841079233
- Kyle Conger, RN Registered Nurse NPI 1336930734
- Jerod Hines, M.D. Orthopaedic Surgery NPI 1760726897
- Lisa Isaksen, NP-C, PMHNP-BC Nurse Practitioner NPI 1841655826
- Cory Ondler, D.O. Emergency Medicine NPI 1457641342
- Debra Phillips, FNP-BC Nurse Practitioner NPI 1366741019
- Trevor Tredennick, M.D. Emergency Medicine NPI 1649264052
Specialties
-
General Acute Care Hospital PrimaryDefinition to come.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010005890 | REGENCE BS HOSPITAL |
| 05 (ID) | 002811000 | |
| 01 (ID) | 002811100 | MEDICAID DR. PROVIDER # |
| 01 (ID) | 002811500 | MEDICAID ANESTHESIA PROV# |
| 01 (CA) | XHSP40645 | MEDICAID CA OUT PATIENT |
| 01 (ID) | 000010005891 | REGENCE BS PROFESSIONAL |
| 01 (ID) | 002811200 | MEDICAID PHARMACY PROV # |
| 01 (KY) | 0101300227002 | MEDICAID KENTUCKY |
| 01 (ID) | 8K446 | BLUE CROSS PROFESSIONAL |
| 01 (CA) | XHSP30645 | MEDICAID CA IN PATIENT |
| 01 (ID) | 00091 | BC HOSPITAL PROV # |
| 01 (AZ) | 109654 | MEDICAID ARIZONA |
| 01 (MT) | 4103426 | MEDICAID MONTANA |
| 01 (ID) | 1252002 | MEDICARE PROF. FEE PROV # |
| 01 (ID) | 805213700 | MEDICAID ER ROOM PHYSICIA |
| 01 (CO) | 95002960 | MEDICAID COLORADO |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Valor Health
Practice context
Multi-provider organization. 7 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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