SOUTHWEST DISTRICT HEALTH
NPI 1689820375
Public Health or Welfare in Caldwell, ID
About Southwest District Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHWEST DISTRICT HEALTH (NPI 1689820375), 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 August 2008. The organization lists Bruce A Krosch, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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
11Medicare 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
Clinicians, nearest first (11)
Albuquerque, NM 87131
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 1689820375. It was assigned to this organization in the NPPES registry on August 13, 2008. 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) 455-5300.
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.
When was this NPI record last updated?
The NPPES record for Southwest District Health was last updated on January 7, 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.
# Southwest District Health · NPI 1689820375
Public Health or Welfare organization in Caldwell, Idaho. Organization record, active in the CMS NPPES registry since August 13, 2008.
## Identity
- **NPI:** 1689820375 (Entity type: Organization)
- **Enumerated:** August 13, 2008
- **Primary specialty:** Public Health or Welfare · taxonomy 251K00000X
- **Organization subpart:** No
- **Authorized official:** Bruce Krosch, DIRECTOR
## Practice location
- **Address:** 13307 MIAMI LN, Caldwell, ID 83607-4701
- **Phone:** (208) 455-5300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Family Practice (2), Clinical Social Worker (1); 3 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 7, 2013
- **Other identifiers:** Medicare UPIN 1910067 (ID)
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Source: [NPI Profile](https://npiprofile.com/npi/1689820375) · Data from the CMS NPPES public registry.