SHOSHONE MEDICAL CENTER
NPI 1487272399
Family Medicine in Kellogg, ID

Q: What is Shoshone Medical Center's NPI number?

The NPI number for Shoshone Medical Center is 1487272399. It was assigned to this organization in the NPPES registry on July 7, 2020.

Q: What is Shoshone Medical Center's specialty?

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

Active since July 07, 2020

25 JACOBS GULCH RD, KELLOGG, ID 83837(208) 784-4612(208) 786-1019 Get Directions Write a Review

NPPES record last updated: April 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 27, 2021, Jul 7, 2020 (2 updates tracked since 2020).

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About Shoshone Medical Center NPPES

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

SHOSHONE MEDICAL CENTER (NPI 1487272399) is a healthcare organization registered as a family medicine in Kellogg, Idaho and active in the NPI registry since July 2020. The organization lists Donja C Erdman, Cfo, as its authorized official.

NPPES Registry Identity

NPI1487272399

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSHOSHONE MEDICAL CENTER

Location Address25 JACOBS GULCH RDKellogg, ID 83837-2023

Mailing Address25 Jacobs Gulch RdKellogg, ID 83837-2023 · (208) 784-1228 · Fax (208) 786-1019

Phone(208) 784-4612

Fax(208) 786-1019

Organization SubpartYes

Authorized OfficialDonja C ErdmanCfo · (208) 784-1221

Enumeration DateJuly 7, 2020

Last NPPES UpdateApril 27, 20212 updates tracked since enumeration

NPPES CertifiedApril 27, 2021

✔ NPI 1487272399 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.

25 JACOBS GULCH RD, Kellogg, ID 83837

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

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

MEGAN MILLS LPC

Counselor (Mental Health)