ST. JOHN'S FOUR PEAKS CLINIC
NPI 1679859797
General Practice in Driggs, ID
NPI Status: Active since November 03, 2011
Contact Information
852 VALLEY CENTRE DR
DRIGGS, ID
ZIP 83422
Phone: (208) 354-4757
Fax: (307) 354-4758
- Organization
- General Practice
- CLIA Number: 53D0910380
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-16-2027
About ST. JOHN'S FOUR PEAKS CLINIC
This page provides the complete NPI Profile along with additional information for St. John's Four Peaks Clinic, a primary care provider established in Driggs, Idaho operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1679859797 assigned on November 2011. The practitioner's primary taxonomy code is 208D00000X with license number 09-179 (WY). The provider is registered as an organization and their NPI record was last updated 13 years ago. St. John's Four Peaks Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as St. John's Four Peaks Clinic. The authorized official of this NPI record is John J. Kren (Cfo)
- NPI
- 1679859797
- Provider Legal Name
- TETON COUNTY HOSPITAL DISTRICT
- Other Organization Name
- ST. JOHN'S FOUR PEAKS CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 852 VALLEY CENTRE DR DRIGGS, ID 83422
- Location Phone
- (208) 354-4757
- Location Fax
- (307) 354-4758
- Mailing Address
- PO BOX 4010 JACKSON, WY 83001
- Mailing Phone
- (307) 739-7391
- Mailing Fax
- (307) 354-4758
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-03-2011
- Last Update Date
- 08-12-2013
- Code Navigator
A primary care provider (PCP) like St. John's Four Peaks Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 09-179
- License State
- WY
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 53D0910380
- Facility Type
- Physician Office
- Certificate Effective Date
- October 17, 2025
- Certificate Expiration Date
- October 16, 2027
- Laboratory Director
- DR. JAMES R. LITTLE JR
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to St. John's Four Peaks Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1679859797, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 83. The final step is to find the difference between that total and the next multiple of ten (90 - 83 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 83 is 90. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679859797, enumerated as an "organization" on November 03, 2011.
The provider is located at 852 VALLEY CENTRE DR DRIGGS, ID 83422 and the phone number is (208) 354-4757.
General Practice with taxonomy code 208D00000X.
