LOST RIVERS MEDICAL CENTER (NPI# 1114925047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114925047 |
| Entity Type | Organization |
| Organization Name | LOST RIVERS MEDICAL CENTER |
| Practice Address |
551 Highland Dr Arco ID 83213-9771 |
| Mailing Address |
Po Box 145 Arco ID 83213-0145 |
| Practice Telephone | 2085278206 |
| Practice Fax Number | 2085273430 |
| Mailing Telephone | 2085278206 |
| Mailing Fax Number | 2085273430 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2017-05-01 |
| Authorized Official Name | MR. BRAD HUERTA (CEO) |
| Authorized Official Telephone | 2085278205 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
45 | ID | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 002300900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760402663 | Lost Rivers Medical Center | Family Medicine | 313 Hwy 93, Mackay, ID 83251 | 2006-07-20 |
| 1134130107 | Lost Rivers Medical Center | Skilled Nursing Facility | 551 Highland Dr, Arco, ID 83213 | 2006-08-11 |
| 1427062181 | Lost Rivers Medical Center | Family Medicine | 551 Highland Dr, Arco, ID 83213-5003 | 2006-07-28 |
| Street Address |
551 HIGHLAND DR |
| City | ARCO |
| State | ID |
| Zip Code | 83213-9771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629627575 | Kristy L Unruh | Nurse Practitioner | 551 Highland Dr, Arco, ID 83213-5003 | 2019-09-04 |
| 1922355049 | Mary Spraktes | Nurse Practitioner | 551 Highland Dr, Arco, ID 83213-5003 | 2012-08-08 |
| 1538399712 | Helen Michelle Pearson | Chiropractor | 551 Highland Dr, Arco, ID 83213-5003 | 2009-07-22 |
| 1265515357 | Lost Rivers Hospital Pharmacy | Pharmacist | 551 Highland Dr, Arco, ID 83213 | 2006-10-23 |
| 1992808059 | Bengal Pharmacy | Pharmacy | 551 Highland Dr, Arco, ID 83213-5003 | 2006-09-06 |
| 1285747055 | Lost Rivers District Hospital | Hospice, Inpatient | 551 Highland Dr, Arco, ID 83213 | 2006-08-16 |
| 1134130107 | Lost Rivers Medical Center | Skilled Nursing Facility | 551 Highland Dr, Arco, ID 83213 | 2006-08-11 |
| 1427062181 | Lost Rivers Medical Center | Family Medicine | 551 Highland Dr, Arco, ID 83213-5003 | 2006-07-28 |
| 1336147149 | Lost Rivers District Hospital | Home Health | 551 Highland Dr, Arco, ID 83213-9771 | 2005-07-14 |
| 1689672495 | Lost Rivers District Hospital | Assisted Living Facility | 551 Highland Dr, Arco, ID 83213-9771 | 2005-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457608671 | Eagle Rock Dental Care Arco Pllc | Dentist | 520 Highland Dr., Arco, ID 83213 | 2012-08-07 |
| 1306104641 | Badger Inc | Counselor | 159 North Idaho Ave, Arco, ID 83213 | 2012-04-24 |
| 1194947358 | Butte County School District 111 | Specialist | 246 Sunset Drive, Arco, ID 83213 | 2007-05-03 |
| 1447476551 | Lost Rivers Emt | Ambulance | 201 North Idaho Street, Arco, ID 83213 | 2007-04-17 |
| 1588786875 | Channing Way Dental Dba Lost Rivers Dental | Dentist | 520 Highland Drive, Arco, ID 83213 | 2007-04-06 |
| 1184632382 | Apria Healthcare Inc | Durable Medical Equipment & Medical Supplies | 159 North Idaho St., #102, Arco, ID 83213 | 2006-08-03 |
| 1588910913 | Lost River Emt | Ambulance | 201 N. Idaho St., Arco, ID 83213-0503 | 2012-08-03 |
| 1760696447 | Hal J Jardine | Counselor | 630 N Front St, Arco, ID 83213-8756 | 2007-05-10 |
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851761464 | Brent Leavitt | General Acute Care Hospital | 4928 Pleasant View Dr, Chubbuck, ID 83202-1640 | 2015-09-25 |
| 1053669598 | Teton Valley Health Care, Inc | General Acute Care Hospital | 120 E Howard Avenue, Driggs, ID 83422-5112 | 2012-08-15 |
| 1639406267 | Florence Hospital, LLC | General Acute Care Hospital | 1300 E State St, Suite 102, Eagle, ID 83616-7059 | 2009-11-03 |
| 1912132176 | Initiatives Healthcare, LLC | General Acute Care Hospital | 1205 N 11th St, Boise, ID 83702-4102 | 2009-05-18 |
| 1417122821 | Elmore Medical Center Specialty Physician Group | General Acute Care Hospital | 890 N 6th E, Mountain Home, ID 83647-2206 | 2008-04-25 |
| 1275703241 | North Canyon Medical Center, Inc. | General Acute Care Hospital | 267 North Canyon Drive, Gooding, ID 83330-1858 | 2008-03-06 |
| 1720298102 | Weiser Valley Hospital District | General Acute Care Hospital | 645 E. 5th Street, Weiser, ID 83672-2202 | 2007-05-23 |
| 1548320435 | Benewah Community Hospital | General Acute Care Hospital | 229 South 7th St, St Maries, ID 83861 | 2006-12-11 |
| 1295769537 | Gooding County Hospital District | General Acute Care Hospital | 1120 Montana St, Gooding, ID 83330-1858 | 2006-07-11 |
| 1881641629 | Weiser Valley Hospital District | General Acute Care Hospital | 645 E. 5th St., Weiser, ID 83672-2202 | 2006-05-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.