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: August 02, 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, 2026 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

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, 2026
CLIA Number13D0670248
Laboratory TypeHealth Disric
Certificate Effective DateAugust 15, 2024
Certificate Expiration DateAugust 14, 2026
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.

Other Providers at the Same Location NPPES 18

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

Lactation Consultant, Non-RN
13307 MIAMI LN
CALDWELL, ID 83607
Health Educator
13307 MIAMI LN
CALDWELL, ID 83607
Dietitian, Registered
13307 MIAMI LN
CALDWELL, ID 83607
Nurse Practitioner (Family)
13307 MIAMI LN
CALDWELL, ID 83607
Nurse Practitioner (Family)
13307 MIAMI LN
CALDWELL, ID 83607
Dietitian, Registered
13307 MIAMI LN
CALDWELL, ID 83607
Nurse Practitioner (Women's Health)
13307 MIAMI LN
CALDWELL, ID 83607
Dietitian, Registered
13307 MIAMI LN
CALDWELL, ID 83607

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.

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, 2026. 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. 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.