P Praxis·MD
● Active Type 2 · Organization

Lost Rivers Medical Center

Family Medicine·MacKay, ID· NPI 1760402663 · Enumerated 2006 · 19 years on NPI
Lost Rivers Medical Center is 1 of 1691 family medicine organizations in Idaho.
NPI age
19 years
Enumerated 2006-07-20
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Huerta
Ceo
Last NPPES update
2017-05-01
Source: monthly bulk 2026-05

How this organization compares

Across 1691 active family medicine providers in Idaho.

NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
313 Hwy 93
MacKay, ID 83251
📞 2085882993fax 2085882997
Mailing address
Po Box 815
Arco, ID 832130815
📞 2085278206fax 2085273616

Authorized official

Brad Huerta
Ceo
📞 2085278206

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    taxonomy 207Q00000X

Identifiers

TypeValueNotes
05 (ID) 804212900

Other names on file (1)

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

  • MACKAY CLINIC
    Type code 3 recorded 2017-05-01

Practice context

Single-site organization. Only one practice location on file.

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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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