MOUNTAIN COUNTRY FAMILY HEALTHCARE, PLLC
NPI 1447801451
Clinic/Center - Primary Care in Spirit Lake, ID

Active since September 23, 2019
31911 N 5TH AVE, SPIRIT LAKE, ID 83869(208) 610-7103 Get Directions Write a Review

NPPES record last updated: September 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mountain Country Family Healthcare, Pllc NPPES

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

MOUNTAIN COUNTRY FAMILY HEALTHCARE, PLLC (NPI 1447801451), doing business as Mountain Country Family Healthcare, is a healthcare organization registered as a primary care in Spirit Lake, Idaho and active in the NPI registry since September 2019. The organization lists Lana Rochelle Young, Owner, as its authorized official.

NPPES Registry Identity

NPI1447801451
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMOUNTAIN COUNTRY FAMILY HEALTHCARE, PLLC
Location Address31911 N 5TH AVESpirit Lake, ID 83869
Mailing AddressPo Box 1671Spirit Lake, ID 83869-1605 · (208) 610-7103
Organization SubpartNo
Authorized OfficialLana Rochelle YoungOwner · (208) 610-7103
Enumeration DateSeptember 23, 2019
NPI 1447801451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
31911 N 5TH AVE, Spirit Lake, ID 83869

Other Names 1

Former Legal Business NameMountain Country Family Healthcare

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 13D2266041

Mountain Country Family Healthcare, PLLC · Spirit Lake, ID
Expired · Aug 3, 2026
CLIA Number13D2266041
Laboratory TypePractitioner Other
Certificate Effective DateAugust 4, 2024
Certificate Expiration DateAugust 3, 2026
Laboratory DirectorLana R. Young
Laboratory Phone(208) 610-7103
Laboratory LocationMountain Country Family Healthcare, PLLC31848 N 4th Ave, Suite #4, Spirit Lake, ID 83869
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

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

Physical Therapist
31911 N 5TH AVE
SPIRIT LAKE, ID 83869

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 Mountain Country Family Healthcare, PLLC's NPI number?

The NPI number for Mountain Country Family Healthcare, PLLC is 1447801451. It was assigned to this organization in the NPPES registry on September 23, 2019. The provider was formerly known as Mountain Country Family Healthcare.

Where is Mountain Country Family Healthcare, PLLC located?

Mountain Country Family Healthcare, PLLC is located at 31911 N 5th Ave, Spirit Lake, ID 83869. The listed phone number is (208) 610-7103.

What is Mountain Country Family Healthcare, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Mountain Country Family Healthcare, PLLC was last updated on September 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.