ADAMS COUNTY HEALTH CENTER INC
NPI 1164964219
Pharmacy - Community/Retail Pharmacy in Council, ID

Active since November 07, 2016CLIA 13D0521251 · Waiver
205 N BERKLEY ST, COUNCIL, ID 83612(208) 253-4957(208) 253-4958 Get Directions Write a Review

NPPES record last updated: March 13, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 13, 2017, Nov 7, 2016 (2 updates tracked since 2016).

About Adams County Health Center Inc NPPES

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

ADAMS COUNTY HEALTH CENTER INC (NPI 1164964219) is a healthcare organization registered as a community/retail pharmacy in Council, Idaho and active in the NPI registry since November 2016. The organization holds a CLIA Waiver certificate valid through November 6, 2026 and lists Mary Ann Domecq, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1164964219
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameADAMS COUNTY HEALTH CENTER INC
Location Address205 N BERKLEY STCouncil, ID 83612-5015
Mailing AddressPo Box 428Council, ID 83612-0428 · (208) 253-4957 · Fax (208) 253-4958
Fax(208) 253-4958
Organization SubpartNo
Authorized OfficialMary Ann DomecqChief Financial Officer · (208) 253-4242
Enumeration DateNovember 7, 2016
Last NPPES UpdateMarch 13, 20172 updates tracked since enumeration
NPI 1164964219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in ID · 43512LS
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
205 N BERKLEY ST, Council, ID 83612

Other Identifiers 2

Other2166314Pk
Medicare PIN1370011

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 13D0521251

Adams County Health Center · Council, ID
Active · expires Nov 6, 2026
CLIA Number13D0521251
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 7, 2024
Certificate Expiration DateNovember 6, 2026
Laboratory DirectorChelsy L. Taylor
Laboratory Phone(208) 253-4242
Laboratory LocationAdams County Health Center205 N Berkley St, Council, ID 83612
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

Licensed Practical Nurse
205 N BERKLEY ST
COUNCIL, ID 83612
Physician Assistant
205 N BERKLEY ST
COUNCIL, ID 83612
Health Educator
205 N BERKLEY ST
COUNCIL, ID 83612
Nurse Practitioner (Primary Care)
205 N BERKLEY ST
COUNCIL, ID 83612
Nurse Practitioner (Primary Care)
205 N BERKLEY ST
COUNCIL, ID 83612
Physician Assistant
205 N BERKLEY ST
COUNCIL, ID 83612
Dentist (General Practice)
205 N BERKLEY ST
COUNCIL, ID 83612
Dentist (General Practice)
205 N BERKLEY ST
COUNCIL, ID 83612

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 Adams County Health Center Inc's NPI number?

The NPI number for Adams County Health Center Inc is 1164964219. It was assigned to this organization in the NPPES registry on November 7, 2016.

Where is Adams County Health Center Inc located?

Adams County Health Center Inc is located at 205 N Berkley St, Council, ID 83612. The listed phone number is (208) 253-4957.

What is Adams County Health Center Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Adams County Health Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D0521251) is associated with this NPI, valid through November 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Adams County Health Center Inc accept?

Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and AvMed and 32 other insurers list Adams County Health Center Inc 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 Adams County Health Center Inc was last updated on March 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.