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

NPI Status: Active since August 25, 2006

Contact Information

740 MCKINLEY AVE
KELLOGG, ID
ZIP 83837
Phone: (208) 783-1267
Fax: (208) 786-4471

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  • Organization
  • Family Medicine

About MOUNTAIN HEALTH SERVICES PC

This page provides the complete NPI Profile along with additional information for Mountain Health Services Pc, a primary care provider established in Kellogg, Idaho operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1164539912 assigned on August 2006. The practitioner's primary taxonomy code is 207Q00000X with license number M8355 (ID). The provider is registered as an organization and their NPI record was last updated 13 years ago. Mountain Health Services Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Frederick R Haller M.d. (Medical Director)

NPI
1164539912
Provider Name
MOUNTAIN HEALTH SERVICES PC
Entity Type
Organization
Location Address
740 MCKINLEY AVE KELLOGG, ID 83837
Location Phone
(208) 783-1267
Location Fax
(208) 786-4471
Mailing Address
740 MCKINLEY AVE KELLOGG, ID 83837
Mailing Phone
(208) 783-1267
Mailing Fax
(208) 786-4471
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-25-2006
Last Update Date
02-14-2013
Code Navigator

A primary care provider (PCP) like Mountain Health Services Pc 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.
M8355
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

FREDERICK R HALLER M.D.

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(208) 783-1267

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
1104208MEDICARE ID-TYPE UNSPECIFIED (04)ID 
1185830001MEDICARE NSC (07)ID 
8A570OTHER (01)IDBLUE CROSS OF IDAHO
000010006537OTHER (01)IDREGENCE
CC9834OTHER (01)IDRAILROAD MEDICARE
002790500MEDICAID (05)ID 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1164539912, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
3
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
1
Doubled → 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 5 → 10 → 1 9 → 18 → 9 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 1 + 0 + 3 + 1 + 8 + 9 + 2 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1164539912.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
740 MCKINLEY AVE
KELLOGG, ID 83837
Physical Therapist
740 MCKINLEY AVE
KELLOGG, ID 83837
Surgery
740 MCKINLEY AVE
KELLOGG, ID 83837
Pharmacist (Geriatric)
740 MCKINLEY AVE
KELLOGG, ID 83837
Internal Medicine
740 MCKINLEY AVE
KELLOGG, ID 83837
Physician Assistant (Medical)
740 MCKINLEY AVE
KELLOGG, ID 83837
Orthopaedic Surgery
740 MCKINLEY AVE
KELLOGG, ID 83837
Counselor (Mental Health)
740 MCKINLEY AVE
KELLOGG, ID 83837
Community/Behavioral Health
740 MCKINLEY AVE
KELLOGG, ID 83837
Durable Medical Equipment & Medical Supplies
740 MCKINLEY AVE
KELLOGG, ID 83837
Rehabilitation Practitioner
740 MCKINLEY AVE
KELLOGG, ID 83837
Clinical Medical Laboratory
740 MCKINLEY AVE
KELLOGG, ID 83837
Physical Therapist
740 MCKINLEY AVE
KELLOGG, ID 83837
Clinic/Center (Medical Specialty)
740 MCKINLEY AVE
KELLOGG, ID 83837
Social Worker (Clinical)
740 MCKINLEY AVE
KELLOGG, ID 83837
Case Manager/Care Coordinator
740 MCKINLEY AVE
KELLOGG, ID 83837
Social Worker
740 MCKINLEY AVE
KELLOGG, ID 83837
Peer Specialist
740 MCKINLEY AVE
KELLOGG, ID 83837
Pharmacist
740 MCKINLEY AVE
KELLOGG, ID 83837
Family Medicine
740 MCKINLEY AVE
KELLOGG, ID 83837

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164539912, enumerated as an "organization" on August 25, 2006.

The provider is located at 740 MCKINLEY AVE KELLOGG, ID 83837 and the phone number is (208) 783-1267.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield and. Please consult your insurance carrier or call the provider to verify.