SOUTHFORK HEALTHCARE
NPI 1134462856
Clinic/Center - Primary Care in Swan Valley, ID
About Southfork Healthcare NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHFORK HEALTHCARE (NPI 1134462856) is a healthcare organization registered as a primary care in Swan Valley, Idaho and active in the NPI registry since April 2013. The organization lists Wendy Swope, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southfork Healthcare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Southfork Healthcare, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Southfork Healthcare's NPI number?
The NPI number for Southfork Healthcare is 1134462856. It was assigned to this organization in the NPPES registry on April 1, 2013.
Where is Southfork Healthcare located?
Southfork Healthcare is located at 166 Elk Path, Swan Valley, ID 83449. The listed phone number is (208) 360-1997.
What is Southfork Healthcare's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Southfork Healthcare enrolled in Medicare?
Yes. Southfork Healthcare is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southfork Healthcare?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Southfork Healthcare. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Southfork Healthcare accept?
Health plans from Molina Healthcare and University of Utah Health Plans list Southfork Healthcare 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 Southfork Healthcare was last updated on May 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Southfork Healthcare · NPI 1134462856
Primary Care organization in Swan Valley, Idaho. Organization record, active in the CMS NPPES registry since April 1, 2013.
## Identity
- **NPI:** 1134462856 (Entity type: Organization)
- **Enumerated:** April 1, 2013
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Wendy Swope, ADMINISTRATOR
## Practice location
- **Address:** 166 ELK PATH, Swan Valley, ID 83449-0101
- **Phone:** (208) 360-1997
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 29, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1134462856) · Data from the CMS NPPES public registry.