SOUTHEASTERN IDAHO MEDICAL CLINICS
NPI 1982738662
Family Medicine in Malad City, ID

Q: What is Southeastern Idaho Medical Clinics's NPI number?

The NPI number for Southeastern Idaho Medical Clinics is 1982738662. It was assigned to this organization in the NPPES registry on March 15, 2007. The provider is doing business as Malad Valley Clinic.

Q: What is Southeastern Idaho Medical Clinics's specialty?

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

Active since March 15, 2007

230 W 200 N, MALAD CITY, ID 83252(208) 766-2267(208) 766-2342 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

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About Southeastern Idaho Medical Clinics NPPES

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

SOUTHEASTERN IDAHO MEDICAL CLINICS (NPI 1982738662), doing business as Malad Valley Clinic, is a healthcare organization registered as a family medicine in Malad City, Idaho and active in the NPI registry since March 2007. The organization lists Stephen Charles Johnson, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1982738662

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSOUTHEASTERN IDAHO MEDICAL CLINICS

Location Address230 W 200 NMalad City, ID 83252-1109

Mailing Address2750 S 4100 WMalad City, ID 83252-6542 · (208) 766-4118 · Fax (208) 766-2342

Phone(208) 766-2267

Fax(208) 766-2342

Organization SubpartNo

Authorized OfficialStephen Charles JohnsonMedical Director · (208) 766-2267

Enumeration DateMarch 15, 2007

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1982738662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ID · 0-41

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.

Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X · License 0-41 (ID)

Other Names 1

Doing Business AsMalad Valley Clinic

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 Southeastern Idaho Medical Clinics's NPI number?

The NPI number for Southeastern Idaho Medical Clinics is 1982738662. It was assigned to this organization in the NPPES registry on March 15, 2007. The provider is doing business as Malad Valley Clinic.

Where is Southeastern Idaho Medical Clinics located?

Southeastern Idaho Medical Clinics is located at 230 W 200 N, Malad City, ID 83252. The listed phone number is (208) 766-2267.

What is Southeastern Idaho Medical Clinics's specialty?

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

When was this NPI record last updated?

The NPPES record for Southeastern Idaho Medical Clinics was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.