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: July 26, 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
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

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.

Family Medicine
113 S APPLE ST
SHOSHONE, ID 83352
Physician Assistant (Medical)
113 S APPLE ST
SHOSHONE, ID 83352
Dietitian, Registered
113 S APPLE ST
SHOSHONE, ID 83352
Family Medicine
113 S APPLE ST
SHOSHONE, ID 83352
Nurse Practitioner (Family)
113 S APPLE ST
SHOSHONE, ID 83352
Nurse Practitioner
113 S APPLE ST
SHOSHONE, ID 83352
Social Worker
113 S APPLE ST
SHOSHONE, ID 83352

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 with the weekly NPPES data releases published by CMS.