NPI age
20 years
Enumerated 2006-01-18
● Active Type 2 · Organization
Minidoka Memorial Hospital
Minidoka Memorial Hospital is 1 of 55 general acute care hospital organizations in Idaho.
Primary specialty
General Acute Care Hospital
Plus 1 secondary
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 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
1
In the 20% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-01Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1224 8th St
Rupert, ID 833501527
Mailing address
1224 8th St
Rupert, ID 833501527
Authorized official
Thomas J Murphy
Administrator
📞 2084368141
Individual providers at this organization
15 individual providers on file at this primary practice address.
- Jessica Bagby, MD Emergency Medicine NPI 1093161473
- Jeffery Baldwin, P.T. Physical Therapist NPI 1205855202
- Scott Bloxham, P.T. Physical Therapist NPI 1962488205
- Charles Clair, MD Family Medicine NPI 1003012204
- Rachel Durrant, MS, CCC-SLP Speech-Language Pathologist NPI 1215432984
- Benjamin Guercio, CRNA Nurse Anesthetist, Certified Registered NPI 1972763381
- Maria Hernandez, P.T. Physical Therapist NPI 1730104597
- Lori Johnson, R.D.,L.D Dietitian, Registered NPI 1669578472
- Donald Konrad, D.O. Family Medicine NPI 1306836077
- Brandon Madsen, CRNA Nurse Anesthetist, Certified Registered NPI 1265037741
- Davee Mussmann, DPT Physical Therapist NPI 1144202938
- William Robar, DO Emergency Medicine NPI 1225560444
- Allison Serr, FNP-C Nurse Practitioner NPI 1144933912
- David Wageman, DO Emergency Medicine NPI 1528108867
- David Ward, PHARMD Pharmacist NPI 1851477863
Specialties
-
General Acute Care Hospital PrimaryDefinition to come.
-
Medicare Defined Swing Bed UnitA unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010006548 | BLUE SHIELD |
| 01 (ID) | 00166 | BLUE CROSS |
| 01 | 1254303 | CIGNA GOVERNMENT SERVICES |
| 05 (ID) | M0023360 |
Practice context
Multi-provider organization. 15 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 →
- 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.