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CASCADE MEDICAL CENTER
NPI 1174226062
Non-Pharmacy Dispensing Site in Cascade, ID

Active since March 22, 2023CLIA 13D2349350 · Waiver
402 LAKE CASCADE PKWY, CASCADE, ID 83611(952) 653-2565 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Cascade Medical Center NPPES

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

CASCADE MEDICAL CENTER (NPI 1174226062) is a healthcare organization registered as a non-pharmacy dispensing site in Cascade, Idaho and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through August 18, 2028 and lists Sarah Hasbrouck, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1174226062
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameCASCADE MEDICAL CENTER
Location Address402 LAKE CASCADE PKWYCascade, ID 83611-7702
Mailing Address6501 City West PkwyEden Prairie, MN 55344-3248 · (952) 653-2525
Phone(952) 653-2565
Organization SubpartNo
Authorized OfficialSarah HasbrouckBusiness Office Manager · (208) 382-4242
Enumeration DateMarch 22, 2023
NPPES CertifiedMarch 17, 2023
✔ NPI 1174226062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
402 LAKE CASCADE PKWY, Cascade, ID 83611
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans and more.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 13D2349350

Cascade Medical Center Stibnite Acute Care Clinic · Yellow Pine, ID
Active · expires Aug 18, 2028
CLIA Number13D2349350
Laboratory TypeIndustrial
Certificate Effective DateAugust 19, 2026
Certificate Expiration DateAugust 18, 2028
Laboratory DirectorJulie Mills
Laboratory Phone(208) 382-4242
Laboratory LocationCascade Medical Center Stibnite Acute Care Clinic#1 Stibnite Road, Yellow Pine, ID 83677
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 17

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

CASCADE MEDICAL CENTER HOSPITAL DISTRICT
Clinic/Center (Rural Health)
402 LAKE CASCADE PKWY
CASCADE, ID 83611
Valley County (208) 382-4242
ALISON LEIGH ROEHNER DPT
Physical Therapist
402 LAKE CASCADE PKWY
CASCADE, ID 83611
Valley County (208) 382-3862
VICTORIA M FRYAR LCSW
Social Worker (Clinical)
402 LAKE CASCADE PKWY
CASCADE, ID 83611
Valley County (208) 382-4285
RONALD K ELLSWORTH MD
Family Medicine
402 LAKE CASCADE PKWY
CASCADE, ID 83611
Valley County (208) 382-4242
MRS. KATHERINE FARMER TDPT
Physical Therapist
402 LAKE CASCADE PKWY
CASCADE, ID 83611
Valley County (208) 382-3862
JULIE MARIE MILLS DO
Emergency Medicine
402 LAKE CASCADE PKWY
CASCADE, ID 83611
Valley County (208) 382-4242
MRS. HEATHER SUE LEWIS PA-C
Physician Assistant
402 LAKE CASCADE PKWY
CASCADE, ID 83611
Valley County (208) 382-4285
MATTHEW THOMAS LAW DPT
Physical Therapist
402 LAKE CASCADE PKWY
CASCADE, ID 83611
Valley County (208) 382-3862

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 Cascade Medical Center's NPI number?

The NPI number for Cascade Medical Center is 1174226062. It was assigned to this organization in the NPPES registry on March 22, 2023.

Where is Cascade Medical Center located?

Cascade Medical Center is located at 402 Lake Cascade Pkwy, Cascade, ID 83611. The listed phone number is (952) 653-2565.

What is Cascade Medical Center's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Cascade Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2349350) is associated with this NPI, valid through August 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cascade Medical Center accept?

Health plans from Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans, Oscar Health and Oscar Health Insurance and 5 other insurers list Cascade Medical Center 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 Cascade Medical Center was last updated on March 22, 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.