NPI age
18 years
Enumerated 2008-04-25
● Active Type 2 · Organization
Subpart
Elmore Medical Center Specialty Physician Group
Elmore Medical Center Specialty Physician Group 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
Janousek
Office Manager
Last NPPES update
2009-05-28
Source: monthly bulk 2026-05
How this organization compares
Across 55 active general acute care hospital providers in Idaho.
NPI age
18 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-04Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
890 N 6th E
Mountain Home, ID 836472206
Mailing address
Po Box 1270
Mountain Home, ID 836471270
Authorized official
Mary E Janousek
Office Manager
📞 2085878401
Specialties
-
General Acute Care Hospital PrimaryDefinition to come.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010149755 | BLUE SHIELD PROF NUMBER |
| 01 (ID) | 000014148578 | BLUE SHIELD |
| 05 (ID) | 002860700 | |
| 01 (ID) | 8K594 | BLUE CROSS |
Practice context
Single-site organization. Only one practice location on file.
Subpart of Elmore Medical Center Hospital District.
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