VICTOR CLINIC
NPI 1801143029
Clinic/Center - Rural Health in Victor, ID
NPI Status: Active since August 07, 2012
Contact Information
83 N MAIN ST
VICTOR, ID
ZIP 83455
Phone: (208) 354-6307
Fax: (208) 787-7456
- Organization
- Clinic/Center
- Rural Health
- CLIA Number: 13D1107387
- CLIA Cert. Type: Rural Health Clinic
- CLIA Exp. Date: 11-03-2027
About VICTOR CLINIC
This page provides the complete NPI Profile along with additional information for Victor Clinic, a primary care provider established in Victor, Idaho operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1801143029 assigned on August 2012. The practitioner's primary taxonomy code is 261QR1300X with license number 31 (ID). The provider is registered as an organization and their NPI record was last updated 6 years ago. Victor 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 Victor Clinic. The authorized official of this NPI record is Jill Payne Payne (Chief Of Compliance)
- NPI
- 1801143029
- Provider Legal Name
- TETON VALLEY HEALTH CARE, INC
- Other Organization Name
- VICTOR CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 83 N MAIN ST VICTOR, ID 83455
- Location Phone
- (208) 354-6307
- Location Fax
- (208) 787-7456
- Mailing Address
- 120 E HOWARD ST DRIGGS, ID 83422
- Mailing Phone
- (208) 354-6302
- Mailing Fax
- (208) 787-7456
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-07-2012
- Last Update Date
- 02-20-2020
- Code Navigator
A primary care provider (PCP) like Victor 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
Clinic/Center Rural Health
- Taxonomy Code
- 261QR1300X
- Type
- Ambulatory Health Care Facilities
- License No.
- 31
- License State
- ID
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207LP2900X | Allopathic & Osteopathic Physicians | Anesthesiology | (ID) |
| 2 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | (ID) |
| 3 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | (ID) |
| 4 | 207XX0005X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | (ID) |
| 5 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | (ID) |
| 6 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | 31 (ID) |
| 7 | 208VP0014X | Allopathic & Osteopathic Physicians | Pain Medicine | 31 (ID) |
| 8 | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | (ID) |
| 9 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | (ID) |
| 10 | 363LP0200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | (ID) |
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
- 13D1107387
- Facility Type
- Rural Health Clinic
- Certificate Effective Date
- November 04, 2025
- Certificate Expiration Date
- November 03, 2027
- Laboratory Director
- CHAD R. HORROCKS
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Victor Clinic in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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 1801143029, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
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 51 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801143029, enumerated as an "organization" on August 07, 2012.
The provider is located at 83 N MAIN ST VICTOR, ID 83455 and the phone number is (208) 354-6307.
Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.
