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SHOSHONE FAMILY MEDICAL CENTER
NPI 1972673218
Clinic/Center - Rural Health in Shoshone, ID

Active since November 08, 2006
113 S APPLE ST, SHOSHONE, ID 83352(208) 886-2222 Get Directions Write a Review

NPPES record last updated: March 8, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shoshone Family Medical Center NPPES

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

SHOSHONE FAMILY MEDICAL CENTER (NPI 1972673218) is a healthcare organization registered as a rural health in Shoshone, Idaho and active in the NPI registry since November 2006. The organization lists Keith E Davis, Owner, as its authorized official.

NPPES Registry Identity

NPI1972673218
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameKEITH E DAVIS
Location Address113 S APPLE STShoshone, ID 83352-5287
Mailing AddressPo Box 609Shoshone, ID 83352-0609
Phone(208) 886-2222
Organization SubpartNo
Authorized OfficialKeith E DavisOwner · (208) 886-2224
Enumeration DateNovember 8, 2006
Last NPPES UpdateMarch 8, 2012
✔ NPI 1972673218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
113 S APPLE ST, Shoshone, ID 83352
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Other Names 1

Doing Business AsShoshone Family Medical Center

Other Identifiers 2

Medicare PIN1370207ID
Medicaid806290300ID

Other Providers at the Same Location NPPES 7

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

KEITH E DAVIS M.D.
Family Medicine
113 S APPLE ST
SHOSHONE, ID 83352
Lincoln County (208) 886-2224
STEPHANIE ROBERTS PA
Physician Assistant (Medical)
113 S APPLE ST
SHOSHONE, ID 83352
Lincoln County (208) 886-2224
MEGAN RICHARDSON WILLIAMS RD, LD
Dietitian, Registered
113 S APPLE ST
SHOSHONE, ID 83352
Lincoln County (208) 886-2224
PHYSICIAN MANAGEMENT SERVICES OF IDAHO, LLC
Family Medicine
113 S APPLE ST
SHOSHONE, ID 83352
Lincoln County (888) 829-8550
BARBARA HAPAYAN NP
Nurse Practitioner (Family)
113 S APPLE ST
SHOSHONE, ID 83352
Lincoln County (208) 886-2224
JANET SANDY
Nurse Practitioner
113 S APPLE ST
SHOSHONE, ID 83352
Lincoln County (208) 886-2224
ANDREA MADSON LMSW
Social Worker
113 S APPLE ST
SHOSHONE, ID 83352
Lincoln County (208) 886-2224

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 Keith E Davis's NPI number?

The NPI number for Keith E Davis is 1972673218. It was assigned to this organization in the NPPES registry on November 8, 2006. The provider is doing business as Shoshone Family Medical Center.

Where is Keith E Davis located?

Keith E Davis is located at 113 S Apple St, Shoshone, ID 83352. The listed phone number is (208) 886-2222.

What is Keith E Davis's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Keith E Davis was last updated on March 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.