NPI age
19 years
Enumerated 2007-01-16
● Active Type 2 · Organization
Star Medical Center Pc
Star Medical Center Pc is 1 of 32 registered nurse organizations in Idaho.
Primary specialty
Registered Nurse
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Dodge
President Owner
Last NPPES update
2013-05-14
Source: monthly bulk 2026-05
How this organization compares
Across 32 active registered nurse providers in Idaho.
NPI age
19 years
↑ 16 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
9858 W State St
Star, ID 836695210
Mailing address
Po Box 44267
Boise, ID 837110267
Authorized official
Elmer G Dodge, RNP
President Owner
📞 2082860666
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Elmer Dodge, FNP Nurse Practitioner NPI 1508918236
- Elena Jacobs Nurse Practitioner NPI 1316617681
- Sherry Stanton, NP Nurse Practitioner NPI 1578062048
Specialties
-
Registered Nurse PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 8L030 | BLUE CROSS OF ID |
| 05 (ID) | 807071100 |
Practice context
Multi-provider organization. 3 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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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.