SALMON RIVER CLINIC HOSPITAL DISTRICT
NPI 1083796569
Family Medicine in Stanley, ID
- Organization
- Family Medicine
- CLIA Number: 13D0646284
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 08-18-2027
About SALMON RIVER CLINIC HOSPITAL DISTRICT
This page provides the complete NPI Profile along with additional information for Salmon River Clinic Hospital District, a primary care provider established in Stanley, Idaho operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1083796569 assigned on October 2006. The practitioner's primary taxonomy code is 207Q00000X with license number M-4162 (ID). The provider is registered as an organization and their NPI record was last updated March 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Amy Mercantini Klingler Pa-c (Pa/administrator)
- NPI
- 1083796569 Verify this NPI
- Provider Name
- SALMON RIVER CLINIC HOSPITAL DISTRICT
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 110 NIECE AVENUE STANLEY, ID 83278
- Location Phone
- (208) 774-3565
- Mailing Address
- PO BOX 129 STANLEY, ID 83278
- Mailing Phone
- (208) 774-3565
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-20-2006
- Last Update Date
- 03-20-2026
- Code Navigator
A primary care provider (PCP) like Salmon River Clinic Hospital District sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- M-4162
- License State
- ID
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | PA-492 (ID) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 806387200 | MEDICAID (05) | ID |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 13D0646284
- Facility Type
- Community Clinic
- Certificate Effective Date
- August 19, 2025
- Certificate Expiration Date
- August 18, 2027
- Laboratory Director
- AMY KLINGLER
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Salmon River Clinic Hospital District in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083796569, enumerated as an "organization" on October 20, 2006.
The provider is located at 110 NIECE AVENUE STANLEY, ID 83278 and the phone number is (208) 774-3565.
Family Medicine with taxonomy code 207Q00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
