COUNTYSIDE CARE AND REHAB
NPI 1023052040
Skilled Nursing Facility in Rupert, ID

Active since June 16, 2006CLIA 13D0701400 · Certificate of Compliance
1224 8TH ST, RUPERT, ID 83350(208) 436-0481(208) 436-6038 Get Directions Write a Review

NPPES record last updated: January 18, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 18, 2016, Dec 10, 2015 (2 updates tracked since 2015).

About Countyside Care And Rehab NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COUNTYSIDE CARE AND REHAB (NPI 1023052040) is a healthcare organization registered as a skilled nursing facility in Rupert, Idaho and active in the NPI registry since June 2006. The organization holds a CLIA Certificate of Compliance certificate valid through January 13, 2027 and lists Thomas J Murphy, Administrator, as its authorized official.

NPPES Registry Identity

NPI1023052040
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMINIDOKA MEMORIAL HOSPITAL
Location Address1224 8TH STRupert, ID 83350-1527
Mailing Address1224 8th StRupert, ID 83350-1527 · (208) 436-0481 · Fax (208) 436-6038
Fax(208) 436-6038
Organization SubpartYes
Authorized OfficialThomas J MurphyAdministrator · (208) 436-8141
Enumeration DateJune 16, 2006
Last NPPES UpdateJanuary 18, 20162 updates tracked since enumeration
NPI 1023052040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in ID · H26
Definition
(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.
1224 8TH ST, Rupert, ID 83350

Other Names 1

Doing Business AsCountyside Care And Rehab

Other Identifiers 2

Medicare OSCAR/certification135064ID
MedicaidM0023369ID

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 13D0701400

Minidoka Memorial Hospital · Rupert, ID
Active · expires Jan 13, 2027
CLIA Number13D0701400
Laboratory TypeHospital
Certificate Effective DateJanuary 14, 2025
Certificate Expiration DateJanuary 13, 2027
Laboratory DirectorKristopher Mc Gee
Laboratory Phone(208) 436-0481
Laboratory LocationMinidoka Memorial Hospital1224 8th St, Rupert, ID 83350
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1224 8TH ST
RUPERT, ID 83350
Nurse Anesthetist, Certified Registered
1224 8TH ST
RUPERT, ID 83350
Emergency Medicine
1224 8TH ST
RUPERT, ID 83350
Clinic/Center (Emergency Care)
1224 8TH ST
RUPERT, ID 83350
Physical Therapist
1224 8TH ST, SUITE A
RUPERT, ID 83350
Nurse Practitioner (Family)
1224 8TH ST
RUPERT, ID 83350
Physical Therapist
1224 8TH ST, SUITE A
RUPERT, ID 83350
Speech-Language Pathologist
1224 8TH ST
RUPERT, ID 83350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Minidoka Memorial Hospital's NPI number?

The NPI number for Minidoka Memorial Hospital is 1023052040. It was assigned to this organization in the NPPES registry on June 16, 2006. The provider is doing business as Countyside Care And Rehab.

Where is Minidoka Memorial Hospital located?

Minidoka Memorial Hospital is located at 1224 8th St, Rupert, ID 83350. The listed phone number is (208) 436-0481.

What is Minidoka Memorial Hospital's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Minidoka Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 13D0701400) is associated with this NPI, valid through January 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Minidoka Memorial Hospital accept?

Health plans from Moda Health Plan, Inc. and PacificSource Health Plans list Minidoka Memorial Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Minidoka Memorial Hospital was last updated on January 18, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.