Minidoka Memorial Hospital - Medicare Primary Care in Rupert, ID

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Minidoka Memorial Hospital is a medicare enrolled primary clinic (Clinic/center - Emergency Care) in Rupert, Idaho. The current practice location for Minidoka Memorial Hospital is 1224 8th St, Rupert, Idaho. For appointments, you can reach them via phone at (208) 436-0481. The mailing address for Minidoka Memorial Hospital is 1224 8th St, Rupert, Idaho and phone number is (208) 436-0481.

Minidoka Memorial Hospital is licensed to practice in Idaho (license number 26). The clinic also participates in the medicare program and its NPI number is 1134333495. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (208) 436-0481.

Contact Information

Minidoka Memorial Hospital
1224 8th St
Rupert
ID 83350-1527
(208) 436-0481
(208) 434-8675

Map and Direction


Primary Care Clinic Profile

Full NameMinidoka Memorial Hospital
SpecialityClinic/Center
Location1224 8th St, Rupert, Idaho
Authorized Official Name and PositionThomas J Murphy (ADMINISTRATOR)
Authorized Official Contact2084360481
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Minidoka Memorial Hospital
1224 8th St
Rupert
ID 83350-1527

Ph: (208) 436-0481		Minidoka Memorial Hospital
1224 8th St
Rupert
ID 83350-1527

Ph: (208) 436-0481

NPI Details:

NPI Number1134333495
Provider Enumeration Date05/09/2007
Last Update Date06/25/2025

Medicare PECOS Information:

Medicare PECOS PAC ID7315908894
Medicare Enrollment IDO20041019001205

Medical Identifiers

Medical identifiers for Minidoka Memorial Hospital such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134333495NPI-NPPES
M0023361MedicaidID
8D418OtherIDBLUE CROSS ER
00010006547OtherIDBLUE SHIELD ER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Secondary
207RR0500XInternal Medicine - Rheumatology (* (Not Available))Secondary
207RS0012XInternal Medicine - Sleep Medicine (* (Not Available))Secondary
207X00000XOrthopaedic Surgery (* (Not Available))Secondary
207XS0117XOrthopaedic Surgery - Orthopaedic Surgery Of The Spine (* (Not Available))Secondary
207XX0005XOrthopaedic Surgery - Sports Medicine (* (Not Available))Secondary
207P00000XEmergency Medicine (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Secondary
208600000XSurgery (* (Not Available))Secondary
208M00000XHospitalist (* (Not Available))Secondary
208VP0014XPain Medicine - Interventional Pain Medicine (* (Not Available))Secondary
213E00000XPodiatrist (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary
367500000XNurse Anesthetist, Certified Registered (* (Not Available))Secondary
261QE0002XClinic/center - Emergency Care 26 (Idaho)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Minidoka Memorial Hospital acts as a billing entity for following providers:
Provider NameBrett T Mumford
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1164463113
PECOS PAC ID: 4880592112
Enrollment ID: I20031223000750
Provider NameMark B Wright
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1295778223
PECOS PAC ID: 9133114994
Enrollment ID: I20040420000312
Provider NameJames C Torres
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1639124217
PECOS PAC ID: 4082505342
Enrollment ID: I20060428000457
Provider NameDavid L Kemp
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1366474918
PECOS PAC ID: 7315904182
Enrollment ID: I20070413000265
Provider NamePatrick M Plummer
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1508848474
PECOS PAC ID: 5799738522
Enrollment ID: I20070604000688
Provider NameJeffrey S Swenson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376531004
PECOS PAC ID: 5991879314
Enrollment ID: I20080804000286
Provider NameKevin S Owens
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235332305
PECOS PAC ID: 6709977747
Enrollment ID: I20090623000745
Provider NameKristopher A Mcgee
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1821246596
PECOS PAC ID: 1759414998
Enrollment ID: I20100809000493
Provider NameCharles M Clair
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003012204
PECOS PAC ID: 6709910128
Enrollment ID: I20100819001006
Provider NameJustin Hamaker
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1396903365
PECOS PAC ID: 1850431370
Enrollment ID: I20110815000626
Provider NameBrad L Wynn
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1902033608
PECOS PAC ID: 0446400683
Enrollment ID: I20121023000781
Provider NameBrock R Bemis
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1932354685
PECOS PAC ID: 8123211364
Enrollment ID: I20140114000722
Provider NameBenjamin W Guercio
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1972763381
PECOS PAC ID: 7012084635
Enrollment ID: I20140729000567
Provider NameJulie M Mills
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1578588646
PECOS PAC ID: 8123125028
Enrollment ID: I20150126001984
Provider NamePaul Dearing
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1497789093
PECOS PAC ID: 7012968571
Enrollment ID: I20150213001189
Provider NamePatrick Joseph Cindrich
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1821101395
PECOS PAC ID: 7214934629
Enrollment ID: I20150527003031
Provider NameTerence L Ahern
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1104195916
PECOS PAC ID: 3971721614
Enrollment ID: I20160412002240
Provider NameTyson Dean Steel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1750709796
PECOS PAC ID: 8628349321
Enrollment ID: I20170728002155
Provider NameDaniel B Elton
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1548576705
PECOS PAC ID: 1850561507
Enrollment ID: I20170804003108
Provider NameJustin R Snedaker
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1992028088
PECOS PAC ID: 9931239621
Enrollment ID: I20170817002313
Provider NameSi Hyung Woo
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1497192413
PECOS PAC ID: 4082933635
Enrollment ID: I20180207002585
Provider NameTyler Charles Roe
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1710305768
PECOS PAC ID: 5698025021
Enrollment ID: I20190806001946

Reviews and Comments


Clinic/Center in Rupert, ID

Minidoka Memorial Hospital
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1308 8th St, Suite 1, Rupert, ID 83350
Phone: 208-436-4322    Fax: 208-434-8675
Swenson M.d. Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1218 9th St Ste 4, Rupert, ID 83350
Phone: 208-436-4838    Fax: 208-436-1561
Rupert Medical Center Partnership
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1218 9th St Ste 7, Rupert, ID 83350
Phone: 208-436-3161    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.