MOUNTAIN HEALTH MID LEVEL
NPI 1700076510
Physician Assistant - Medical in Kellogg, ID

Active since July 27, 2007
740 MCKINLEY AVE, KELLOGG, ID 83837(208) 783-1267(208) 786-4471 Get Directions Write a Review

NPPES record last updated: August 15, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mountain Health Mid Level NPPES

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

MOUNTAIN HEALTH MID LEVEL (NPI 1700076510) is a healthcare organization registered as a medical in Kellogg, Idaho and active in the NPI registry since July 2007. The organization lists Lynn Haughn, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1700076510
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameMOUNTAIN HEALTH MID LEVEL
Location Address740 MCKINLEY AVEKellogg, ID 83837-2693
Mailing Address740 Mckinley AveKellogg, ID 83837-2693 · (208) 783-1267 · Fax (208) 786-4471
Fax(208) 786-4471
Organization SubpartNo
Authorized OfficialLynn HaughnOffice Manager · (208) 783-1267
Enumeration DateJuly 27, 2007
Last NPPES UpdateAugust 15, 2008
NPI 1700076510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in ID · PA28 Licensed in ID · PA301 Licensed in ID · PA580
740 MCKINLEY AVE, Kellogg, ID 83837

Other Identifiers 6

Other000010006537ID · Regence
Other8A570ID · Blue Cross
Medicaid002791000ID
Medicare NSC1185830001ID
Medicare PIN1374793ID
OtherCC9834ID · Railroad Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
740 MCKINLEY AVE
KELLOGG, ID 83837
Durable Medical Equipment & Medical Supplies
740 MCKINLEY AVE
KELLOGG, ID 83837
Social Worker (Clinical)
740 MCKINLEY AVE
KELLOGG, ID 83837
Family Medicine
740 MCKINLEY AVE
KELLOGG, ID 83837
Clinic/Center (Medical Specialty)
740 MCKINLEY AVE
KELLOGG, ID 83837
Orthopaedic Surgery
740 MCKINLEY AVE
KELLOGG, ID 83837
Case Manager/Care Coordinator
740 MCKINLEY AVE
KELLOGG, ID 83837
Pharmacist
740 MCKINLEY AVE
KELLOGG, ID 83837

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 Mountain Health Mid Level's NPI number?

The NPI number for Mountain Health Mid Level is 1700076510. It was assigned to this organization in the NPPES registry on July 27, 2007.

Where is Mountain Health Mid Level located?

Mountain Health Mid Level is located at 740 Mckinley Ave, Kellogg, ID 83837. The listed phone number is (208) 783-1267.

What is Mountain Health Mid Level's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Mountain Health Mid Level was last updated on August 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.