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STAR MEDICAL CENTER PC
NPI 1508918244
Registered Nurse - General Practice in Star, ID

Active since January 16, 2007
9858 W STATE ST, STAR, ID 83669(208) 286-0666(208) 286-0565 Get Directions Write a Review

NPPES record last updated: May 14, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Star Medical Center Pc NPPES

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

STAR MEDICAL CENTER PC (NPI 1508918244) is a healthcare organization registered as a general practice in Star, Idaho and active in the NPI registry since January 2007. The organization lists Elmer G Dodge, President Owner, as its authorized official.

NPPES Registry Identity

NPI1508918244
Entity TypeOrganization
Primary Taxonomy163WG0000X
Legal Business NameSTAR MEDICAL CENTER PC
Location Address9858 W STATE STStar, ID 83669-5210
Mailing AddressPo Box 44267Boise, ID 83711-0267 · (208) 286-0666 · Fax (208) 286-0565
Phone(208) 286-0666
Fax(208) 286-0565
Organization SubpartNo
Authorized OfficialElmer G DodgePresident Owner · (208) 286-0666
Enumeration DateJanuary 16, 2007
Last NPPES UpdateMay 14, 2013
✔ NPI 1508918244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · General PracticeNursing Service Providers
Taxonomy Code163WG0000X
9858 W STATE ST, Star, ID 83669
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Other Identifiers 3

Other8L030ID · Blue Cross Of Id
Medicare ID-Type Unspecified1379318ID
Medicaid807071100ID

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

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.

OWYHEE FAMILY MEDICINE PLLC
Family Medicine
9858 W STATE ST
STAR, ID 83669
Ada County (208) 286-9471
ELENA JACOBS
Nurse Practitioner (Family)
9858 W STATE ST
STAR, ID 83669
Ada County (208) 286-9471
BEVERLEE K FURNER, NP PLLC
Nurse Practitioner (Family)
9858 W STATE ST
STAR, ID 83669
Ada County (208) 286-9471
ELMER G DODGE JR. FNP
Nurse Practitioner
9858 W STATE ST
STAR, ID 83669
Ada County (208) 286-0666
SHERRY LYNN STANTON NP
Nurse Practitioner (Family)
9858 W STATE ST
STAR, ID 83669
Ada County (208) 286-9471

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 Star Medical Center PC's NPI number?

The NPI number for Star Medical Center PC is 1508918244. It was assigned to this organization in the NPPES registry on January 16, 2007.

Where is Star Medical Center PC located?

Star Medical Center PC is located at 9858 W State St, Star, ID 83669. The listed phone number is (208) 286-0666.

What is Star Medical Center PC's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in General Practice, with taxonomy code 163WG0000X.

When was this NPI record last updated?

The NPPES record for Star Medical Center PC was last updated on May 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.