NPI age
19 years
Enumerated 2007-03-07
● Active Type 2 · Organization
Subpart
Glenns Ferry Health Center, Inc.
Glenns Ferry Health Center, Inc. is 1 of 157 clinic/center organizations in Idaho.
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
350 Main St.
Grand View, ID 83624
Mailing address
120 Desert Sage Way
Mountain Home, ID 836471038
Authorized official
Sharlet Wilson
Executive Assistant
📞 2086967203
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 86645 | BLUE CROSS OF IDAHO |
| 05 (ID) | 002550600 | |
| 01 (ID) | CP8711 | MEDICARE RAILROAD |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Desert Sage Health Centers
Practice context
Single-site organization. Only one practice location on file.
Subpart of Glenns Ferry Health Center, Inc..
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