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COUNCIL MOUNTAIN MEDICAL CLINIC
NPI 1881725331
Clinic/Center - Primary Care in Council, ID

Active since March 08, 2007
101 COUNCIL AVENUE, SUITE C, COUNCIL, ID 83612(208) 253-4915(208) 253-4917 Get Directions Write a Review

NPPES record last updated: March 17, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Council Mountain Medical Clinic NPPES

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

COUNCIL MOUNTAIN MEDICAL CLINIC (NPI 1881725331) is a healthcare organization registered as a primary care in Council, Idaho and active in the NPI registry since March 2007. The organization lists Jacqueline R Bruns, Vp - Physician Services, as its authorized official.

NPPES Registry Identity

NPI1881725331
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePAYETTE LAKES MEDICAL CLINIC, PA
Location Address101 COUNCIL AVENUE, SUITE CCouncil, ID 83612
Mailing AddressPo Box 1047Mccall, ID 83638-1047 · (208) 634-2225 · Fax (208) 634-7212
Phone(208) 253-4915
Fax(208) 253-4917
Organization SubpartYes
Authorized OfficialJacqueline R BrunsVp - Physician Services · (208) 634-4061
Enumeration DateMarch 8, 2007
Last NPPES UpdateMarch 17, 2008
✔ NPI 1881725331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
101 COUNCIL AVENUE, Council, ID 83612
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Other Names 1

Other NameCouncil Mountain Medical Clinic

Other Identifiers 3

Other000010139844ID · Bs
Other8G122ID · Bc
Medicare OSCAR/certification133855ID

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 Payette Lakes Medical Clinic, PA's NPI number?

The NPI number for Payette Lakes Medical Clinic, PA is 1881725331. It was assigned to this organization in the NPPES registry on March 8, 2007. The provider is also known as Council Mountain Medical Clinic.

Where is Payette Lakes Medical Clinic, PA located?

Payette Lakes Medical Clinic, PA is located at 101 Council Avenue Suite C, Council, ID 83612. The listed phone number is (208) 253-4915.

What is Payette Lakes Medical Clinic, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Payette Lakes Medical Clinic, PA was last updated on March 17, 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.