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MACKAY CLINIC
NPI 1760402663
Family Medicine in Mackay, ID

Active since July 20, 2006
313 HWY 93, MACKAY, ID 83251(208) 588-2993(208) 588-2997 Get Directions Write a Review

NPPES record last updated: May 1, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mackay Clinic NPPES

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

MACKAY CLINIC (NPI 1760402663) is a healthcare organization registered as a family medicine in Mackay, Idaho and active in the NPI registry since July 2006. The organization lists Brad Huerta, Ceo, as its authorized official.

NPPES Registry Identity

NPI1760402663
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLOST RIVERS MEDICAL CENTER
Location Address313 HWY 93Mackay, ID 83251
Mailing AddressPo Box 815Arco, ID 83213-0815 · (208) 527-8206 · Fax (208) 527-3616
Phone(208) 588-2993
Fax(208) 588-2997
Organization SubpartNo
Authorized OfficialBrad HuertaCeo · (208) 527-8206
Enumeration DateJuly 20, 2006
Last NPPES UpdateMay 1, 2017
✔ NPI 1760402663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
313 HWY 93, Mackay, ID 83251
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Other Names 1

Doing Business AsMackay Clinic

Other Identifiers 2

Medicare OSCAR/certification133990ID
Medicaid804212900ID

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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, University of Utah Health Plans.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)

Mackay Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Mackay Clinic, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (5)

Kristy Unruh, MSN, APRN, NP-C
Nurse Practitioner
NPI 1629627575
551 HIGHLAND DR
Arco, ID 83213
(208) 252-7654
✔ PECOS✔ Accepts Medicare25 mi
Olivia Prince, FNP-C
Nurse Practitioner
NPI 1194683987
551 HIGHLAND DR
Arco, ID 83213
(208) 252-7654
✔ PECOS✔ Accepts Medicare25 mi
Jace White
Nurse Practitioner
NPI 1861371171
551 HIGHLAND DR
Arco, ID 83213
(208) 252-7654
✔ PECOS✔ Accepts Medicare25 mi
Timothy Tomlinson, DPM
Podiatry
NPI 1518018969
267 N CANYON DR NCMC SPECIALTY CLINIC
Gooding, ID 83330
(208) 934-8829
✔ PECOS✔ Accepts Medicare88 mi
Vernon Kubiak, APRN, CNS, CNP
Nurse Practitioner
NPI 1538576491
1070 HILINE RD SUITE 210
Pocatello, ID 83201
(208) 478-9081
✔ PECOS✔ Accepts Medicare92 mi

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 Lost Rivers Medical Center's NPI number?

The NPI number for Lost Rivers Medical Center is 1760402663. It was assigned to this organization in the NPPES registry on July 20, 2006. The provider is doing business as Mackay Clinic.

Where is Lost Rivers Medical Center located?

Lost Rivers Medical Center is located at 313 Hwy 93, Mackay, ID 83251. The listed phone number is (208) 588-2993.

What is Lost Rivers Medical Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lost Rivers Medical Center enrolled in Medicare?

Yes. Lost Rivers Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lost Rivers Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Lost Rivers Medical Center. 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 (4) and Podiatry (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lost Rivers Medical Center accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Lost Rivers Medical Center 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 Lost Rivers Medical Center was last updated on May 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.