SALMON RIVER CLINIC
NPI 1104351972
Clinic/Center - Primary Care in Salmon, ID
About Salmon River Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SALMON RIVER CLINIC (NPI 1104351972) is a healthcare organization registered as a primary care in Salmon, Idaho and active in the NPI registry since April 2017. The organization lists Darci Neyman, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Salmon River Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Salmon River Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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's NPI number?
The NPI number for Salmon River Clinic is 1104351972. It was assigned to this organization in the NPPES registry on April 28, 2017.
Where is Salmon River Clinic located?
Salmon River Clinic is located at 403 Riverfront Dr, Salmon, ID 83467. The listed phone number is (208) 742-1110.
What is Salmon River Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Salmon River Clinic enrolled in Medicare?
Yes. Salmon River Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Salmon River Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Salmon River Clinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Salmon River Clinic was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Salmon River Clinic · NPI 1104351972
Primary Care organization in Salmon, Idaho. Organization record, active in the CMS NPPES registry since April 28, 2017.
## Identity
- **NPI:** 1104351972 (Entity type: Organization)
- **Enumerated:** April 28, 2017
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Darci Neyman, OFFICE MANAGER
## Practice location
- **Address:** 403 RIVERFRONT DR, Salmon, ID 83467-5162
- **Phone:** (208) 742-1110 · **Fax:** (208) 742-1120
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104351972) · Data from the CMS NPPES public registry.