SOUTHWEST DISTRICT HEALTH
NPI 1598748337
Public Health or Welfare in Caldwell, ID

Active since November 25, 2005CLIA 13D0670248 · Microscopy
13307 MIAMI LN, CALDWELL, ID 83607(208) 455-5305(208) 455-5368 Get Directions Write a Review

NPPES record last updated: February 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Southwest District Health NPPES

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

SOUTHWEST DISTRICT HEALTH (NPI 1598748337), doing business as State Of Idaho, is a healthcare organization registered as a public health or welfare in Caldwell, Idaho and active in the NPI registry since November 2005. The organization holds a CLIA Microscopy certificate valid through August 14, 2028 and lists Kelly S Boster, Office Specialist Ii, as its authorized official.

NPPES Registry Identity

NPI1598748337
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameSOUTHWEST DISTRICT HEALTH
Location Address13307 MIAMI LNCaldwell, ID 83607-4701
Mailing Address13307 Miami LnCaldwell, ID 83607-4701 · (208) 455-5305 · Fax (208) 455-5368
Fax(208) 455-5368
Organization SubpartNo
Authorized OfficialKelly S BosterOffice Specialist Ii · (208) 455-5348
Enumeration DateNovember 25, 2005
Last NPPES UpdateFebruary 2, 2024
NPPES CertifiedFebruary 2, 2024
✔ NPI 1598748337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedFamily MedicineTaxonomy 207Q00000X
13307 MIAMI LN, Caldwell, ID 83607

Other Names 1

Former Legal Business NameState Of Idaho

Other Identifiers 4

Medicaid002824100HI
Medicaid002828400ID
Medicaid002821600ID
Medicaid805201700ID

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southwest District Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Southwest District Health, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Nurse Practitioner6
Family Practice2
Clinical Social Worker1
Emergency Medicine1
Registered Dietitian or Nutrition Professional1

Clinicians, nearest first (11)

Nurse Practitioner
NPI 1427650266
13307 MIAMI LN
Caldwell, ID 83607
(208) 455-5300
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1417230251
13307 MIAMI LN
Caldwell, ID 83607
(208) 455-5300
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1225161839
13307 MIAMI LN
Caldwell, ID 83607
(208) 455-5300
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1497101174
3402 FRANKLIN RD
Caldwell, ID 83605
(208) 455-7090
✔ PECOS✔ Accepts Medicare3.9 mi
Nurse Practitioner
NPI 1033871819
15076 PLUM RD
Caldwell, ID 83607
(208) 830-5560
✔ PECOS7.6 mi
Nurse Practitioner
NPI 1780383166
2440 S TITANIUM PL
Meridian, ID 83642
(208) 456-2659
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1255531976
2308 N COLE RD SUITE H
Boise, ID 83704
(208) 375-8806
✔ PECOS19 mi
Family Practice
NPI 1871522086
6565 W EMERALD ST
Boise, ID 83704
(208) 514-2510
✔ PECOS20 mi
Registered Dietitian or Nutrition Professional
NPI 1881930378
1441 NE 10TH AVE
Payette, ID 83661
(208) 642-9376
✔ Accepts Medicare34 mi
Nurse Practitioner
NPI 1336861194
10433 S REDWOOD RD STE 2
South Jordan, UT 84095
(801) 260-1919
✔ PECOS✔ Accepts Medicare321 mi
Emergency Medicine
NPI 1497998538
UNM DEPARTMENT OF EMERGENCY MEDICINE MSC10 5560, 1 UNIVERSITY OF NEW MEXICO
Albuquerque, NM 87131
(505) 272-5062
✔ PECOS✔ Accepts Medicare795 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 for Provider-Performed Microscopy Procedures (PPMP) 13D0670248

Southwest District Health · Caldwell, ID
Active · expires Aug 14, 2028
CLIA Number13D0670248
Laboratory TypeHealth Disric
Certificate Effective DateAugust 15, 2026
Certificate Expiration DateAugust 14, 2028
Laboratory DirectorPerry Jansen
Laboratory Phone(208) 455-5342
Laboratory LocationSouthwest District Health13307 Miami Lane, Caldwell, ID 83606
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Southwest District Health's NPI number?

The NPI number for Southwest District Health is 1598748337. It was assigned to this organization in the NPPES registry on November 25, 2005. The provider was formerly known as State Of Idaho.

Where is Southwest District Health located?

Southwest District Health is located at 13307 Miami Ln, Caldwell, ID 83607. The listed phone number is (208) 455-5305.

What is Southwest District Health's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

Is Southwest District Health enrolled in Medicare?

Yes. Southwest District Health is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southwest District Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 5 Medicare specialties reassign their Medicare billing to Southwest District Health. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (6), Family Practice (2) and Clinical Social Worker (1). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Southwest District Health hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 13D0670248) is associated with this NPI, valid through August 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southwest District Health accept?

Health plans from Moda Health Plan, Inc. and Molina Healthcare list Southwest District Health 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 Southwest District Health was last updated on February 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.