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MARIMN HEALTH
NPI 1336135136
Clinic/Center - Federally Qualified Health Center (FQHC) in Plummer, ID

Active since September 27, 2005CLIA Certified · 2 labs
427 N 12TH ST, PLUMMER, ID 83851(208) 686-1931 Get Directions Write a Review

NPPES record last updated: March 29, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marimn Health NPPES

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

MARIMN HEALTH (NPI 1336135136) is a healthcare organization registered as a federally qualified health center (fqhc) in Plummer, Idaho and active in the NPI registry since September 2005. The organization holds 2 active CLIA laboratory certificates and lists Paul Leroy Bergland, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1336135136
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameBENEWAH MEDICAL CENTER
Location Address427 N 12TH STPlummer, ID 83851
Mailing AddressPo Box 388Plummer, ID 83851-0388 · (208) 686-1931 · Fax (208) 686-1146
Phone(208) 686-1931
Organization SubpartNo
Authorized OfficialPaul Leroy BerglandChief Financial Officer · (208) 686-5162
Enumeration DateSeptember 27, 2005
Last NPPES UpdateMarch 29, 2018
✔ NPI 1336135136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in ID · 131814
427 N 12TH ST, Plummer, ID 83851
Open in Google Maps ↗

Other Names 1

Doing Business AsMarimn Health

Other Identifiers 3

Medicaid804166900ID
Medicaid805801300ID
Medicaid0026771ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, UnitedHealthcare.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 Compliance 13D0669093

Marimn Health · Plummer, ID
Active · expires Jun 29, 2028
CLIA Number13D0669093
Laboratory TypeRural Health Clinic
Certificate Effective DateJune 30, 2026
Certificate Expiration DateJune 29, 2028
Laboratory DirectorMaira A. Gamez
Laboratory Phone(208) 686-1931
Laboratory LocationMarimn Health427 N 12th St, Plummer, ID 83851
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 13D1092732

Marimn Health · Plummer, ID
Active · expires Dec 2, 2026
CLIA Number13D1092732
Laboratory TypeRural Health Clinic
Certificate Effective DateDecember 3, 2024
Certificate Expiration DateDecember 2, 2026
Laboratory DirectorMarilou Gonzalez
Laboratory Phone(208) 686-1931
Laboratory LocationMarimn Health427 N 12th St, Plummer, ID 83851
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 6

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

ANGELA DAWN DELIO LCSW
Social Worker (Clinical)
427 N 12TH ST
PLUMMER, ID 83851
Benewah County (208) 686-1931
DR. TAYLOR JAMES WILKENS DDS
Dentist
427 N 12TH ST
PLUMMER, ID 83851
Benewah County (208) 686-1931
MR. AUSTEN REIS CARDOZA PA-C
Physician Assistant
427 N 12TH ST
PLUMMER, ID 83851
Benewah County (208) 686-1931
COY FULLEN DO
Family Medicine
427 N 12TH ST
PLUMMER, ID 83851
Benewah County (208) 686-1931
CARL PRINTZ LMSW
Counselor (Addiction (Substance Use Disorder))
427 N 12TH ST
PLUMMER, ID 83851
Benewah County (208) 686-1931
WILLOW R KENYON LCSW
Social Worker (Clinical)
427 N 12TH ST
PLUMMER, ID 83851
Benewah County (208) 686-1931

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 Benewah Medical Center's NPI number?

The NPI number for Benewah Medical Center is 1336135136. It was assigned to this organization in the NPPES registry on September 27, 2005. The provider is doing business as Marimn Health.

Where is Benewah Medical Center located?

Benewah Medical Center is located at 427 N 12th St, Plummer, ID 83851. The listed phone number is (208) 686-1931.

What is Benewah Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Benewah Medical Center 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 Benewah Medical Center accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and UnitedHealthcare list Benewah 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 Benewah Medical Center was last updated on March 29, 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.