MOUNTAIN HEALTH SERVICES PC
NPI 1164539912
Family Medicine in Kellogg, ID

Q: What is Mountain Health Services PC's NPI number?

The NPI number for Mountain Health Services PC is 1164539912. It was assigned to this organization in the NPPES registry on August 25, 2006.

Q: What is Mountain Health Services PC's specialty?

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

Active since August 25, 2006

740 MCKINLEY AVE, KELLOGG, ID 83837(208) 783-1267(208) 786-4471 Get Directions Write a Review

NPPES record last updated: February 14, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mountain Health Services Pc NPPES

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

MOUNTAIN HEALTH SERVICES PC (NPI 1164539912) is a healthcare organization registered as a family medicine in Kellogg, Idaho and active in the NPI registry since August 2006. The organization lists Frederick R Haller, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1164539912

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMOUNTAIN HEALTH SERVICES PC

Location Address740 MCKINLEY AVEKellogg, ID 83837-2693

Mailing Address740 Mckinley AveKellogg, ID 83837-2693 · (208) 783-1267 · Fax (208) 786-4471

Phone(208) 783-1267

Fax(208) 786-4471

Organization SubpartNo

Authorized OfficialFrederick R HallerMedical Director · (208) 783-1267

Enumeration DateAugust 25, 2006

Last NPPES UpdateFebruary 14, 2013

✔ NPI 1164539912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ID · M8355

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.

740 MCKINLEY AVE, Kellogg, ID 83837

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Other Identifiers 6

Medicare ID-Type Unspecified1104208ID

Medicare NSC1185830001ID

Other8A570ID · Blue Cross Of Idaho

Other000010006537ID · Regence

OtherCC9834ID · Railroad Medicare

Medicaid002790500ID

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

MRS. THERESA MARIE CALIHAN MSN FNP

Nurse Practitioner (Family)