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DOCTORS CLINIC OF ELMORE COUNTY PLLC
NPI 1063578664
Family Medicine in Mountain Home, ID

Active since December 28, 2006CLIA 13D0938420 · Microscopy
2000 AMERICAN LEGION BLVD, MOUNTAIN HOME, ID 83647(208) 587-1500(208) 587-3180 Get Directions Write a Review

NPPES record last updated: February 25, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Doctors Clinic Of Elmore County Pllc NPPES

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

DOCTORS CLINIC OF ELMORE COUNTY PLLC (NPI 1063578664) is a healthcare organization registered as a family medicine in Mountain Home, Idaho and active in the NPI registry since December 2006. The organization holds a CLIA Microscopy certificate valid through July 9, 2027 and lists Layne D Roberts, Physician, as its authorized official.

NPPES Registry Identity

NPI1063578664
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDOCTORS CLINIC OF ELMORE COUNTY PLLC
Location Address2000 AMERICAN LEGION BLVDMountain Home, ID 83647-3138
Mailing Address2000 American Legion BlvdMountain Home, ID 83647-3138 · (208) 587-1500 · Fax (208) 587-3180
Phone(208) 587-1500
Fax(208) 587-3180
Organization SubpartNo
Authorized OfficialLayne D RobertsPhysician · (208) 587-1500
Enumeration DateDecember 28, 2006
Last NPPES UpdateFebruary 25, 2008
✔ NPI 1063578664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ID · O-91
Definition
Family 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 family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA-265 (ID)
2000 AMERICAN LEGION BLVD, Mountain Home, ID 83647
Open in Google Maps ↗

Other Identifiers 2

Medicare UPIND17306ID
Medicare ID-Type Unspecified1378082ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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 for Provider-Performed Microscopy Procedures (PPMP) 13D0938420

Doctors Clinic Of Elmore County · Mountain Home, ID
Active · expires Jul 9, 2027
CLIA Number13D0938420
Laboratory TypePhysician Office
Certificate Effective DateJuly 10, 2025
Certificate Expiration DateJuly 9, 2027
Laboratory DirectorLayne D. Roberts
Laboratory Phone(208) 587-1500
Laboratory LocationDoctors Clinic Of Elmore County2000 American Legion Blvd, Mountain Home, ID 83647
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

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

MR. DELMAR WALLACE SMITH P.A.
Physician Assistant (Medical)
2000 AMERICAN LEGION BLVD
MOUNTAIN HOME, ID 83647
Elmore County (208) 587-1500
LADD FAMILY PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
2000 AMERICAN LEGION BLVD
MOUNTAIN HOME, ID 83647
Elmore County (208) 947-0877
DR. LAYNE D. ROBERTS D.O.
Family Medicine
2000 AMERICAN LEGION BLVD
MOUNTAIN HOME, ID 83647
Elmore County (208) 587-1500

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 Doctors Clinic Of Elmore County PLLC's NPI number?

The NPI number for Doctors Clinic Of Elmore County PLLC is 1063578664. It was assigned to this organization in the NPPES registry on December 28, 2006.

Where is Doctors Clinic Of Elmore County PLLC located?

Doctors Clinic Of Elmore County PLLC is located at 2000 American Legion Blvd, Mountain Home, ID 83647. The listed phone number is (208) 587-1500.

What is Doctors Clinic Of Elmore County PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Doctors Clinic Of Elmore County PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 13D0938420) is associated with this NPI, valid through July 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Doctors Clinic Of Elmore County PLLC accept?

Health plans from Moda Health Plan, Inc. list Doctors Clinic Of Elmore County PLLC 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 Doctors Clinic Of Elmore County PLLC was last updated on February 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.