STEELE MEMORIAL MEDICAL CENTER
NPI 1407563265
Clinic/Center in Salmon, ID

NPI Status: Active since November 01, 2022

Contact Information

805 MAIN ST
SALMON, ID
ZIP 83467
Phone: (208) 756-6212
Fax: (208) 756-6336

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  • Organization
  • Clinic/Center
  • CLIA Number: 13D0521047
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 11-10-2026

About STEELE MEMORIAL MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Steele Memorial Medical Center, a provider established in Salmon, Idaho operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1407563265 assigned on November 2022. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Ryan Larson (Cfo)

NPI
1407563265
Provider Name
STEELE MEMORIAL MEDICAL CENTER
Entity Type
Organization
Location Address
805 MAIN ST SALMON, ID 83467
Location Phone
(208) 756-6212
Location Fax
(208) 756-6336
Mailing Address
PO BOX 700 SALMON, ID 83467
Mailing Phone
(208) 756-5698
Mailing Fax
(208) 756-6336
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-01-2022
Last Update Date
11-01-2022
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Location Map

Secondary Locations

  • 203 S Daisy St
    Salmon, ID 83467
    (208) 756-5896

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RYAN LARSON

Authorized Official Title
CFO
Authorized Official Phone
(208) 756-5616

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00356OTHER (01)IDCLINIC-BLUE CROSS
1254505MEDICAID (05)ID 
133996OTHER (01)IDMEDICAID-CLINIC
8D145OTHER (01)IDBLUE CROSS

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
13D0521047
Facility Type
Hospital
Certificate Effective Date
November 11, 2024
Certificate Expiration Date
November 10, 2026
Laboratory Director
DR. BRYN HAWS
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Steele Memorial Medical Center on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1407563265, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
0
Doubled → 0
Pos 4
7
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
3
Doubled → 6
Pos 8
2
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 5 → 10 → 1 3 → 6 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 0 + 7 + 1 + 0 + 6 + 6 + 2 + 1 + 2 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1407563265.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
805 MAIN ST
SALMON, ID 83467
Orthopaedic Surgery
805 MAIN ST
SALMON, ID 83467
Family Medicine
805 MAIN ST
SALMON, ID 83467
Obstetrics & Gynecology
805 MAIN ST
SALMON, ID 83467
Surgery
805 MAIN ST
SALMON, ID 83467
Physician Assistant
805 MAIN ST
SALMON, ID 83467
Physician Assistant
805 MAIN ST
SALMON, ID 83467
Nurse Practitioner (Family)
805 MAIN ST
SALMON, ID 83467

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407563265, enumerated as an "organization" on November 01, 2022.

The provider is located at 805 MAIN ST SALMON, ID 83467 and the phone number is (208) 756-6212.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.