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 holds a CLIA Waiver certificate valid through April 22, 2027 and lists Wendy Swope, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted 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 of Waiver 13D2057730
Southfork Healthcare · Irwin, IDFrequently 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.
Does Southfork Healthcare hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 13D2057730) is associated with this NPI, valid through April 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Southfork Healthcare accept?
Health plans from 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
## Record status
- **NPPES last updated:** May 29, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1134462856) · Data from the CMS NPPES public registry.