OWYHEE FAMILY MEDICINE PLLC - NPI 1245910470 - Family Medicine in Star, ID

Q: What is Owyhee Family Medicine PLLC's NPI number?

The NPI number for Owyhee Family Medicine PLLC is 1245910470. It was assigned to this organization in the NPPES registry on July 21, 2023.

Q: What is Owyhee Family Medicine PLLC's specialty?

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

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About Owyhee Family Medicine Pllc NPPES

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

OWYHEE FAMILY MEDICINE PLLC (NPI 1245910470) is a healthcare organization registered as a family medicine in Star, Idaho and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through April 11, 2027 and lists Rory Hawker, Owner, as its authorized official.

NPPES Registry Identity

NPI1245910470

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameOWYHEE FAMILY MEDICINE PLLC

Location Address9858 W STATE STStar, ID 83669-5210

Mailing Address9858 W State StStar, ID 83669-5210 · (208) 286-9471

Phone(208) 286-9471

Organization SubpartNo

Authorized OfficialRory HawkerOwner · (208) 422-7887

Enumeration DateJuly 21, 2023

NPPES CertifiedJuly 21, 2023

✔ NPI 1245910470 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.

9858 W STATE ST, Star, ID 83669

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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

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 13D1036449

Owyhee Family Medicine · Star, ID

Active · expires Apr 11, 2027

CLIA Number13D1036449

Laboratory TypePractitioner Other

Certificate Effective DateApril 12, 2025

Certificate Expiration DateApril 11, 2027

Laboratory DirectorRory B. Hawker

Laboratory Phone(208) 286-9471

Laboratory LocationOwyhee Family Medicine9858 W State St, Star, ID 83669

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 5

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

ELENA JACOBS

Nurse Practitioner (Family)