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GARDEN VALLEY FAMILY MEDICINE PC
NPI 1245312750
Family Medicine in Garden Valley, ID

Active since October 20, 2006CLIA Certified · 2 labs
856 BANKS LOWMAN ROAD, GARDEN VALLEY, ID 83622(208) 462-3533(208) 462-3736 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Garden Valley Family Medicine Pc NPPES

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

GARDEN VALLEY FAMILY MEDICINE PC (NPI 1245312750) is a healthcare organization registered as a family medicine in Garden Valley, Idaho and active in the NPI registry since October 2006. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Horseshoe Bend, and lists Michael R Koenig, Owner, as its authorized official.

NPPES Registry Identity

NPI1245312750
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGARDEN VALLEY FAMILY MEDICINE PC
Location Address856 BANKS LOWMAN ROADGarden Valley, ID 83622
Mailing AddressPo Box 270Garden Valley, ID 83622-0270 · (208) 462-3533 · Fax (208) 462-3736
Phone(208) 462-3533
Fax(208) 462-3736
Organization SubpartNo
Authorized OfficialMichael R KoenigOwner · (208) 462-3533
Enumeration DateOctober 20, 2006
Last NPPES UpdateMarch 17, 2018
✔ NPI 1245312750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
856 BANKS LOWMAN ROAD, Garden Valley, ID 83622
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Secondary Practice Location 1

Location 1102 Quinn StreetHorseshoe Bend, ID 83629-0000 · Phone (208) 462-3533 · Fax (208) 462-3736

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 13D0646317

Garden Valley Family Medicine · Garden Valley, ID
Active · expires Sep 30, 2027
CLIA Number13D0646317
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorMichael Koenig
Laboratory Phone(208) 462-3533
Laboratory LocationGarden Valley Family Medicine856 Banks Lowman Road, Garden Valley, ID 83622
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 13D0713307

Garden Valley Family Medicine · Horseshoe Bend, ID
Active · expires Oct 31, 2026
CLIA Number13D0713307
Laboratory TypeCommunity Clinic
Certificate Effective DateNovember 1, 2024
Certificate Expiration DateOctober 31, 2026
Laboratory DirectorMichael Koenig
Laboratory Phone(208) 793-2257
Laboratory LocationGarden Valley Family Medicine102 Quinn St, Horseshoe Bend, ID 83629
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

MR. JEREMY A BASSE FNP
Nurse Practitioner (Family)
856 BANKS LOWMAN ROAD
GARDEN VALLEY, ID 83622
Boise County (208) 462-3533

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 Garden Valley Family Medicine PC's NPI number?

The NPI number for Garden Valley Family Medicine PC is 1245312750. It was assigned to this organization in the NPPES registry on October 20, 2006.

Where is Garden Valley Family Medicine PC located?

Garden Valley Family Medicine PC is located at 856 Banks Lowman Road, Garden Valley, ID 83622. The listed phone number is (208) 462-3533.

What is Garden Valley Family Medicine PC's specialty?

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

Does Garden Valley Family Medicine PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Garden Valley Family Medicine PC accept?

Health plans from Moda Health Plan, Inc. list Garden Valley Family Medicine PC 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 Garden Valley Family Medicine PC was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.