LOST RIVERS MEDICAL CENTER (NPI# 1134130107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134130107 |
| Entity Type | Organization |
| Organization Name | LOST RIVERS MEDICAL CENTER |
| Other Organization Name | LOST RIVERS SWINGBED |
| Practice Address |
551 Highland Dr Arco ID 83213 |
| Mailing Address |
Po Box 145 Arco ID 83213-0145 |
| Practice Telephone | 2085278206 |
| Practice Fax Number | 2085273105 |
| Mailing Telephone | 2085278206 |
| Mailing Fax Number | 2085273105 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2017-05-01 |
| Authorized Official Name | MR. BRAD HUERTA (CEO) |
| Authorized Official Telephone | 2085278206 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| LOST RIVERS SWINGBED | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760402663 | Lost Rivers Medical Center | Family Medicine | 313 Hwy 93, Mackay, ID 83251 | 2006-07-20 |
| 1114925047 | Lost Rivers Medical Center | General Acute Care Hospital | 551 Highland Dr, Arco, ID 83213-9771 | 2005-07-13 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114925047 | Lost Rivers Medical Center | General Acute Care Hospital | 551 Highland Dr, Arco, ID 83213-9771 | 2005-07-13 |
| 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 |
| 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 |
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| 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 | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801351176 | Tanabell Health Services, Inc. | Skilled Nursing Facility | 2656 E Magicview Dr, Meridian, ID 83646 | 2019-01-31 |
| 1497233514 | Boise Nursing and Rehab Center LLC | Skilled Nursing Facility | 1140 N Allumbaugh St, Boise, ID 83704-8716 | 2018-07-31 |
| 1295249241 | Boise of Cascadia, LLC | Skilled Nursing Facility | 6000 W. Denton St., Boise, ID 83706 | 2017-11-29 |
| 1356867683 | Nampa of Cascadia, LLC | Skilled Nursing Facility | 900 North Happy Valley Rd, Nampa, ID 83687 | 2017-08-18 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1871042663 | Ahc of Lewiston, LLC | Skilled Nursing Facility | 2852 Juniper Dr, Lewiston, ID 83501-4719 | 2016-09-22 |
| 1063966638 | Boise West of Cascadia, LLC | Skilled Nursing Facility | 8211 Ustick Road, Boise, ID 83704-5756 | 2016-08-11 |
| 1861946436 | Bellevue of Cascadia, LLC | Skilled Nursing Facility | 620 N. 6th Street, Bellevue, ID 83313 | 2016-08-11 |
| 1437603008 | Twin Falls of Cascadia, LLC | Skilled Nursing Facility | 674 Eastland Drive, Twin Falls, ID 83301-6846 | 2016-08-11 |
| 1235683806 | Payette of Cascadia, LLC | Skilled Nursing Facility | 1019 3rd Avenue South, Payette, ID 83661-2832 | 2016-08-11 |
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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.