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MINIDOKA MEMORIAL HOSPITAL
NPI 1679553531
General Acute Care Hospital - Critical Access in Rupert, ID

Active since January 18, 2006
1224 8TH ST, RUPERT, ID 83350(208) 436-0481(208) 434-8675 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 26, 2025, Feb 24, 2017, Dec 9, 2015 (3 updates tracked since 2015).

About Minidoka Memorial Hospital NPPES

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

MINIDOKA MEMORIAL HOSPITAL (NPI 1679553531) is a healthcare organization registered as a critical access in Rupert, Idaho and active in the NPI registry since January 2006. The organization lists Thomas J Murphy, Administrator, as its authorized official.

NPPES Registry Identity

NPI1679553531
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameMINIDOKA MEMORIAL HOSPITAL
Location Address1224 8TH STRupert, ID 83350-1527
Mailing Address1224 8th StRupert, ID 83350-1527 · (208) 436-0481 · Fax (208) 436-6038
Phone(208) 436-0481
Fax(208) 434-8675
Organization SubpartNo
Authorized OfficialThomas J MurphyAdministrator · (208) 436-8141
Enumeration DateJanuary 18, 2006
Last NPPES UpdateMarch 26, 20253 updates tracked since enumeration
NPPES CertifiedMarch 26, 2025
✔ NPI 1679553531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral Acute Care Hospital · Critical AccessHospitals
Taxonomy Code282NC0060X
License✔ Licensed in ID · 26
Also ListedMedicare Defined Swing Bed UnitTaxonomy 275N00000X · License 26 (ID)
1224 8TH ST, Rupert, ID 83350
Open in Google Maps ↗

Other Identifiers 4

Other000010006548ID · Blue Shield
Other00166ID · Blue Cross
Other1254303Cigna Government Services
MedicaidM0023360ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans and more.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)

Minidoka Memorial Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

73

Medicare enrollment records show 73 clinicians reassign Medicare billing to Minidoka Memorial Hospital, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 31 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 17

Emergency Medicine21
Family Practice10
Nurse Practitioner8
Orthopedic Surgery7
Certified Registered Nurse Anesthetist (CRNA)5
Cardiovascular Disease (Cardiology)4
Internal Medicine4
General Surgery2
9 other specialties12

Nearest to this location (20)

See all 73
Jessica Bagby, MD
Emergency Medicine
NPI 1093161473
1224 8TH ST
Rupert, ID 83350
(208) 436-0481
✔ PECOSSame address
Charles Clair, MD
Family Practice
NPI 1003012204
1224 8TH ST
Rupert, ID 83350
(208) 436-0481
✔ PECOSSame address
Benjamin Guercio, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1972763381
1224 8TH ST
Rupert, ID 83350
(208) 436-0481
Same address
Brandon Madsen, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1265037741
1224 8TH ST
Rupert, ID 83350
(208) 436-0481
✔ Accepts MedicareSame address
William Robar, DO
Emergency Medicine
NPI 1225560444
1224 8TH ST
Rupert, ID 83350
(208) 436-0481
✔ PECOSSame address
Allison Serr, FNP-C
Nurse Practitioner
NPI 1144933912
1224 8TH ST
Rupert, ID 83350
(208) 436-0481
✔ PECOSSame address
David Wageman, DO
Emergency Medicine
NPI 1528108867
1224 8TH ST
Rupert, ID 83350
(208) 436-0481
✔ PECOS✔ Accepts MedicareSame address
Jared Hicken, DO
Emergency Medicine
NPI 1790429603
1224 8TH ST
Rupert, ID 83350
(208) 436-0481
✔ PECOS✔ Accepts Medicare0.1 mi
Harrison Mcumber, MD
Emergency Medicine
NPI 1528718947
1224 8TH ST
Rupert, ID 83350
(208) 436-0481
✔ PECOS✔ Accepts Medicare0.1 mi
Christopher Burns, MD
Family Practice
NPI 1932738846
1308 8TH ST STE 1
Rupert, ID 83350
(208) 436-4322
✔ PECOS✔ Accepts Medicare0.9 mi
Aleksandr Doroshkin, MD
Family Practice
NPI 1073171781
1308 8TH ST STE 1
Rupert, ID 83350
(208) 436-4322
✔ PECOS✔ Accepts Medicare0.9 mi
Lanny Campbell, MD
Family Practice
NPI 1780790147
1308 8TH ST STE 1
Rupert, ID 83350
(208) 436-4322
✔ PECOS✔ Accepts Medicare1.2 mi
Aaron Catmull
Nurse Practitioner
NPI 1891101937
1308 8TH ST STE 1
Rupert, ID 83350
(208) 436-4322
✔ PECOS✔ Accepts Medicare1.2 mi
Tanya Crystal, FNP-C
Nurse Practitioner
NPI 1982051751
1308 8TH ST
Rupert, ID 83350
(208) 436-4322
✔ PECOS✔ Accepts Medicare1.2 mi
Mark Dahle, MD
Family Practice
NPI 1174187587
1308 8TH ST STE 1
Rupert, ID 83350
(208) 436-4322
✔ PECOS✔ Accepts Medicare1.2 mi
Nichole Shumway, DO
Internal Medicine
NPI 1386263796
1308 8TH ST
Rupert, ID 83350
(208) 436-4322
✔ PECOS✔ Accepts Medicare1.2 mi
Tyson Steel, D.O.
Internal Medicine
NPI 1750709796
1308 8TH ST STE 1
Rupert, ID 83350
(208) 436-4322
✔ PECOS✔ Accepts Medicare1.2 mi
Ryan Callahan, D.O
Orthopedic Surgery
NPI 1962765222
1218 9TH ST STE 10
Rupert, ID 83350
(208) 436-8340
✔ PECOS✔ Accepts Medicare1.2 mi
Patrick Cindrich, M.D.
Neurosurgery
NPI 1821101395
1218 9TH ST STE 10
Rupert, ID 83350
(208) 436-0481
✔ PECOS✔ Accepts Medicare1.2 mi
Darin Wright, MD
Otolaryngology
NPI 1619945938
1218 9TH ST STE 10
Rupert, ID 83350
(208) 434-8420
✔ PECOS1.2 mi
See all 73 clinicians

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

Hospital Quality Ratings CMS Care Compare

Quality and patient-experience ratings for Minidoka Memorial Hospital (CMS certification number 131319), from CMS Care Compare.

Minidoka Memorial Hospital

Critical Access Hospitals · Rupert, ID
OwnershipGovernment - Local
CMS Certification Number131319
Location1224 8th StreetRupert, ID 83350 · Minidoka County · (208) 436-0481
Emergency services

Complications & Deaths 5

Rate of complications for hip/knee replacement patients
Cases too small to report
Death rate for COPD patients
Cases too small to report
Death rate for heart failure patients
Cases too small to report
Death rate for pneumonia patients
Cases too small to report
Death rate for stroke patients
Cases too small to report

Unplanned Hospital Visits 8

Hospital return days for heart failure patients
26 days per 100 discharges
Hospital return days for pneumonia patients
Cases too small to report
Ratio of unplanned hospital visits after hospital outpatient surgery
69 No different than national
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients
Cases too small to report
Heart failure (HF) 30-Day Readmission Rate
26 No different than national
Rate of readmission after hip/knee replacement
Cases too small to report

Timely & Effective Care 5

Healthcare workers given influenza vaccination
80%
Average (median) time patients spent in the emergency department before leaving from the visit A lower number of minutes is better
109 minutes
Average (median) time patients spent in the emergency department before leaving from the visit- Psychiatric/Mental Health Patients. A lower number of minutes is better
259 minutes
Left before being seen
1%
Emergency department volume
Low

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 Minidoka Memorial Hospital's NPI number?

The NPI number for Minidoka Memorial Hospital is 1679553531. It was assigned to this organization in the NPPES registry on January 18, 2006.

Where is Minidoka Memorial Hospital located?

Minidoka Memorial Hospital is located at 1224 8th St, Rupert, ID 83350. The listed phone number is (208) 436-0481.

What is Minidoka Memorial Hospital's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

Is Minidoka Memorial Hospital enrolled in Medicare?

Yes. Minidoka Memorial Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Minidoka Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 73 clinicians in 17 Medicare specialties reassign their Medicare billing to Minidoka Memorial Hospital. 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 Emergency Medicine (21), Family Practice (10) and Nurse Practitioner (8). Of these, 7 practice at this address and 31 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Is Minidoka Memorial Hospital a Medicare-certified hospital?

Yes. Minidoka Memorial Hospital is a Medicare-certified hospital (Critical Access Hospitals). The hospital provides emergency services.

What insurance does Minidoka Memorial Hospital accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans, Providence Health Plan and Select Health list Minidoka Memorial Hospital 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 Minidoka Memorial Hospital was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.