1. Home
  2. Directory
  3. NPI Profile

SALMON RIVER CLINIC HOSPITAL DISTRICT
NPI 1083796569
Family Medicine in Stanley, ID

Active since October 20, 2006CLIA 13D0646284 · Microscopy
110 NIECE AVENUE, STANLEY, ID 83278(208) 774-3565 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Salmon River Clinic Hospital District NPPES

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

SALMON RIVER CLINIC HOSPITAL DISTRICT (NPI 1083796569), doing business as Salmon River Clinic, is a healthcare organization registered as a family medicine in Stanley, Idaho and active in the NPI registry since October 2006. The organization holds a CLIA Microscopy certificate valid through August 18, 2027 and lists Amy Mercantini Klingler, Pa/administrator, as its authorized official.

NPPES Registry Identity

NPI1083796569
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSALMON RIVER CLINIC HOSPITAL DISTRICT
Location Address110 NIECE AVENUEStanley, ID 83278-0129
Mailing AddressPo Box 129Stanley, ID 83278-0129 · (208) 774-3565
Phone(208) 774-3565
Organization SubpartNo
Authorized OfficialAmy Mercantini KlinglerPa/administrator · (208) 774-3565
Enumeration DateOctober 20, 2006
Last NPPES UpdateMarch 20, 2026
NPPES CertifiedMarch 20, 2026
✔ NPI 1083796569 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 · M-4162
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-492 (ID)
110 NIECE AVENUE, Stanley, ID 83278
Open in Google Maps ↗

Other Names 1

Doing Business AsSalmon River Clinic

Other Identifiers 1

Medicaid806387200ID

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

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) 13D0646284

Salmon River Clinic · Stanley, ID
Active · expires Aug 18, 2027
CLIA Number13D0646284
Laboratory TypeCommunity Clinic
Certificate Effective DateAugust 19, 2025
Certificate Expiration DateAugust 18, 2027
Laboratory DirectorAmy Klingler
Laboratory Phone(208) 774-3565
Laboratory LocationSalmon River Clinic110 Niece Ave, Stanley, ID 83278
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

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

SALMON RIVER CLINIC HOSPITAL DISTRICT
Ambulance (Land Transport)
110 NIECE AVENUE
STANLEY, ID 83278
Custer County (208) 774-3565

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 Salmon River Clinic Hospital District's NPI number?

The NPI number for Salmon River Clinic Hospital District is 1083796569. It was assigned to this organization in the NPPES registry on October 20, 2006. The provider is doing business as Salmon River Clinic.

Where is Salmon River Clinic Hospital District located?

Salmon River Clinic Hospital District is located at 110 Niece Avenue, Stanley, ID 83278. The listed phone number is (208) 774-3565.

What is Salmon River Clinic Hospital District's specialty?

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

Does Salmon River Clinic Hospital District hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 13D0646284) is associated with this NPI, valid through August 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Salmon River Clinic Hospital District was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.