NPI age
19 years
Enumerated 2007-03-15
● Active Type 2 · Organization
Southeastern Idaho Medical Clinics
Southeastern Idaho Medical Clinics is 1 of 1691 family medicine organizations in Idaho.
Primary specialty
Family Medicine
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Johnson
Medical Director
Last NPPES update
2025-09-11
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
1
In the 31% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
230 W 200 N
Malad City, ID 832521109
Mailing address
2750 S 4100 W
Malad City, ID 832526542
Authorized official
Stephen Charles Johnson, D.O.
Medical Director
📞 2087662267
Specialties
-
Family Medicine PrimaryFamily 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...
-
Clinic/CenterDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Malad Valley Clinic
Practice context
Single-site organization. Only one practice location on file.
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