NPI age
17 years
Enumerated 2008-11-13
● Active Type 2 · Organization
1st Clinic
1st Clinic is 1 of 55 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Torquato
Contract Physician
Last NPPES update
2008-11-13
Source: monthly bulk 2026-05
How this organization compares
Across 55 active clinic/center providers in Idaho.
NPI age
17 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-11Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
265 W Prairie Shopping Ctr
Hayden, ID 838359855
Mailing address
265 W Prairie Shopping Ctr
Hayden, ID 838359855
Authorized official
John L. Torquato, MD
Contract Physician
📞 2087727850
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Erik Kelly, NP-C Nurse Practitioner NPI 1396195269
- Lana Young, N.P. Nurse Practitioner NPI 1750639225
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 2 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.