P Praxis·MD
● Active Type 2 · Organization Subpart

Glenns Ferry Health Center, Inc.

Clinic/Center·Mountain Home, ID· NPI 1518097047 · Enumerated 2007 · 19 years on NPI
Glenns Ferry Health Center, Inc. is 1 of 157 clinic/center organizations in Idaho.
NPI age
19 years
Enumerated 2007-03-06
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wilson
Executive Assistant
Last NPPES update
2024-09-20
Source: monthly bulk 2026-05

How this organization compares

Across 157 active clinic/center providers in Idaho.

NPI age
19 years
↑ 11 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-03Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
120 Desert Sage Way
Mountain Home, ID 836471038
📞 2085873988fax 2085873324
Mailing address
120 Desert Sage Way
Mountain Home, ID 836471038
📞 2088753988fax 2085873324

Authorized official

Sharlet Wilson
Executive Assistant
📞 2086967203

Individual providers at this organization

18 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QF0400X

Identifiers

TypeValueNotes
01 (ID) 86645 BLUE CROSS OF IDAHO
05 (ID) 805288500
01 MEDICARE RAILROAD CP8711

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Desert Sage Health Centers
    Type code 3 recorded 2021-02-17

Practice context

Multi-provider organization. 18 individual providers on file at this primary address.

Subpart of Glenns Ferry Health Center, Inc..

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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