| Oneida County Hospital | |
|
220 Bannock St Malad City ID 83252-5068 | |
| (208) 766-2600 | |
| (208) 766-4258 |
| Full Name | Oneida County Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 220 Bannock St, Malad City, Idaho |
| Authorized Official Name and Position | Cindy Howard (CFO) |
| Authorized Official Contact | 2087665355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oneida County Hospital 220 Bannock St Malad City ID 83252-5068 Ph: (208) 766-2600 | Oneida County Hospital 220 Bannock St Malad City ID 83252-5068 Ph: (208) 766-2600 |
| NPI Number | 1225276454 |
|---|---|
| Provider Enumeration Date | 01/26/2009 |
| Last Update Date | 06/03/2010 |
| Medicare PECOS PAC ID | 3476459108 |
|---|---|
| Medicare Enrollment ID | O20031211000830 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225276454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | O-41 (Idaho) | Primary |
| Provider Name | William B Speakman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821034562 PECOS PAC ID: 3577542752 Enrollment ID: I20040720000727 |
| Provider Name | Robert D Hodson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265482905 PECOS PAC ID: 6305859760 Enrollment ID: I20060801000322 |
| Provider Name | Misty M Martinsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467685511 PECOS PAC ID: 7517007842 Enrollment ID: I20091217000596 |
| Provider Name | James Pickett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275735045 PECOS PAC ID: 8426109240 Enrollment ID: I20150213001352 |
| Provider Name | David Teeples |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003179706 PECOS PAC ID: 2264663178 Enrollment ID: I20150901001935 |
| Provider Name | Tyson Daniels |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487189163 PECOS PAC ID: 3870860372 Enrollment ID: I20170605002893 |
| Provider Name | Nadim B Bikhazi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1588651152 PECOS PAC ID: 7517866916 Enrollment ID: I20200715002179 |
| Provider Name | Paul Bikhazi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1427141944 PECOS PAC ID: 9133263718 Enrollment ID: I20200715002226 |
| Provider Name | Layne S Barnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265424741 PECOS PAC ID: 2860486610 Enrollment ID: I20220210001944 |
| Provider Name | Catherine Harmston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639283302 PECOS PAC ID: 6002818663 Enrollment ID: I20230913001274 |
| Provider Name | Brandi Lee Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922725746 PECOS PAC ID: 6002347846 Enrollment ID: I20241003001257 |
Oneida County Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 220 Bannock St, Malad City, ID 83252 Phone: 208-766-2600 Fax: 208-766-4258 | |
Southeastern Idaho Medical Clinics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 W 200 N, Malad City, ID 83252 Phone: 208-766-2267 Fax: 208-766-2342 |