| Weiser Valley Hospital District | |
|
360 E Liberty St Ste B Weiser ID 83672-2261 | |
| (208) 549-4424 | |
| (208) 414-0947 |
| Full Name | Weiser Valley Hospital District |
|---|---|
| Speciality | Family Medicine |
| Location | 360 E Liberty St Ste B, Weiser, Idaho |
| Authorized Official Name and Position | Pamela Stampfli (CFO) |
| Authorized Official Contact | 2085490370 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Weiser Valley Hospital District 645 E. 5th St. Weiser ID 83672 Ph: (208) 549-0370 | Weiser Valley Hospital District 360 E Liberty St Ste B Weiser ID 83672-2261 Ph: (208) 549-4424 |
| NPI Number | 1255364030 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 08/06/2025 |
| Medicare PECOS PAC ID | 5294704276 |
|---|---|
| Medicare Enrollment ID | O20050124000126 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255364030 | NPI | - | NPPES |
| 1235364030 | Medicaid | ID | |
| 121244 | Medicaid | OR |
| Provider Name | Michael A Fuchs |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588692289 PECOS PAC ID: 6103801998 Enrollment ID: I20040624000436 |
| Provider Name | Aaron R Gopp |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144284423 PECOS PAC ID: 6709864622 Enrollment ID: I20040708000671 |
| Provider Name | Michael T Fisher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134155229 PECOS PAC ID: 3072589282 Enrollment ID: I20040909000093 |
| Provider Name | Elaine N Daniel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720024094 PECOS PAC ID: 2062488273 Enrollment ID: I20040909000106 |
| Provider Name | Christopher J Jennings |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679517320 PECOS PAC ID: 0244290294 Enrollment ID: I20041013001226 |
| Provider Name | Bradley E Chatlin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861435356 PECOS PAC ID: 5294796769 Enrollment ID: I20041019001136 |
| Provider Name | Quinn A Demordaunt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750323226 PECOS PAC ID: 5496717746 Enrollment ID: I20041029000592 |
| Provider Name | Rebecca M Kirsch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255378089 PECOS PAC ID: 7719911528 Enrollment ID: I20050921000743 |
| Provider Name | Shane K Ball |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679500557 PECOS PAC ID: 7911985775 Enrollment ID: I20051010000341 |
| Provider Name | John S Waltz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568406130 PECOS PAC ID: 3577589068 Enrollment ID: I20051024000835 |
| Provider Name | Jason M Wilhelmsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912964404 PECOS PAC ID: 7517932049 Enrollment ID: I20060209000693 |
| Provider Name | Daniel D Ririe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477506350 PECOS PAC ID: 8022024900 Enrollment ID: I20060301000716 |
| Provider Name | Selena J Ankarberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497840292 PECOS PAC ID: 5597775759 Enrollment ID: I20060502000776 |
| Provider Name | Stuart E Clive |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053396614 PECOS PAC ID: 4880787191 Enrollment ID: I20070831000529 |
| Provider Name | Joshua L Coleman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982841573 PECOS PAC ID: 2163587486 Enrollment ID: I20090219000331 |
| Provider Name | Steven V Marx |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124062799 PECOS PAC ID: 4880784834 Enrollment ID: I20090520000020 |
| Provider Name | James A Hill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326156282 PECOS PAC ID: 2264503093 Enrollment ID: I20090618000787 |
| Provider Name | Nicholas A Lazzaro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700076619 PECOS PAC ID: 1254499502 Enrollment ID: I20100621000515 |
| Provider Name | John C Kirkham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346457298 PECOS PAC ID: 8527117704 Enrollment ID: I20100621000534 |
| Provider Name | Cody J Boyce |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508816471 PECOS PAC ID: 0941358923 Enrollment ID: I20100621000566 |
| Provider Name | Einav Shochat |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316157332 PECOS PAC ID: 2567656150 Enrollment ID: I20110714000862 |
| Provider Name | Justin Hamaker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396903365 PECOS PAC ID: 1850431370 Enrollment ID: I20110815000626 |
| Provider Name | Spencer D Stucki |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518100759 PECOS PAC ID: 6002960127 Enrollment ID: I20111215000476 |
| Provider Name | Jeffrey M Pugsley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124133004 PECOS PAC ID: 7810169463 Enrollment ID: I20120612000287 |
| Provider Name | Evan W Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740353432 PECOS PAC ID: 7911964325 Enrollment ID: I20120827000278 |
| Provider Name | Frederick R Starr |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023073426 PECOS PAC ID: 6305903121 Enrollment ID: I20121219000192 |
| Provider Name | Tyler J Harris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275794935 PECOS PAC ID: 6305000787 Enrollment ID: I20130710000749 |
| Provider Name | Russell W Wright |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679710123 PECOS PAC ID: 2860648649 Enrollment ID: I20130716000100 |
| Provider Name | Paul D Sonntag |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760682066 PECOS PAC ID: 4688857055 Enrollment ID: I20130716000205 |
| Provider Name | Wayne M Mortensen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780878314 PECOS PAC ID: 6305094616 Enrollment ID: I20130821000516 |
| Provider Name | Blake D Niederhauser |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578726683 PECOS PAC ID: 5193870293 Enrollment ID: I20140910000475 |
| Provider Name | Jordan V Blanchard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356630941 PECOS PAC ID: 2365691870 Enrollment ID: I20141103002412 |
| Provider Name | Russell J Watson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346562113 PECOS PAC ID: 3678609872 Enrollment ID: I20150112001470 |
| Provider Name | Andrew A Peterson |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1083842033 PECOS PAC ID: 6406148923 Enrollment ID: I20160701001013 |
| Provider Name | Joni E Shriver |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063755346 PECOS PAC ID: 0244551026 Enrollment ID: I20170221000546 |
| Provider Name | Tyler G Jue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033641154 PECOS PAC ID: 9537445374 Enrollment ID: I20170411001127 |
| Provider Name | Brian L Mcmahan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043501273 PECOS PAC ID: 7012153828 Enrollment ID: I20170927004139 |
| Provider Name | Bradley Wescott Terry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871973198 PECOS PAC ID: 7214223510 Enrollment ID: I20180522000676 |
| Provider Name | Benjamin Joseph Morrissey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730441536 PECOS PAC ID: 7416189683 Enrollment ID: I20180712003008 |
| Provider Name | Zachary J Beatty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164866489 PECOS PAC ID: 8628373842 Enrollment ID: I20190531000845 |
| Provider Name | Whitney Leigh Shofner Michalsky |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1548502446 PECOS PAC ID: 9830406834 Enrollment ID: I20190611002388 |
| Provider Name | Andrea K Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265903983 PECOS PAC ID: 6002143013 Enrollment ID: I20190814002358 |
| Provider Name | Geoffry De Gennaro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336554740 PECOS PAC ID: 5496971715 Enrollment ID: I20200609002283 |
| Provider Name | Zachary Robert Berg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730597758 PECOS PAC ID: 8729381256 Enrollment ID: I20200609002844 |
| Provider Name | Alexander Bradley Griffin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114312816 PECOS PAC ID: 7012200496 Enrollment ID: I20210528000922 |
| Provider Name | Timur Kotlyar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669850590 PECOS PAC ID: 9537469341 Enrollment ID: I20210616002955 |
| Provider Name | Lea Mackinnon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699154542 PECOS PAC ID: 5890087738 Enrollment ID: I20210621000942 |
| Provider Name | Amy M Aldrich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285840298 PECOS PAC ID: 8628145000 Enrollment ID: I20220127001935 |
| Provider Name | Melissa A Hathhorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124609029 PECOS PAC ID: 6608267927 Enrollment ID: I20220217002030 |
| Provider Name | Melissa Catherine Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750512521 PECOS PAC ID: 4587894373 Enrollment ID: I20220323000946 |
| Provider Name | Christopher Liby |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073826178 PECOS PAC ID: 2668793480 Enrollment ID: I20220531000879 |
| Provider Name | James Katrivesis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851687008 PECOS PAC ID: 3779851795 Enrollment ID: I20220531001432 |
| Provider Name | Caleb R Sturge |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093197279 PECOS PAC ID: 1658651013 Enrollment ID: I20220607002675 |
| Provider Name | Jordan S Jones |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407219702 PECOS PAC ID: 6103118104 Enrollment ID: I20220610002041 |
| Provider Name | Sarah Anne Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649988817 PECOS PAC ID: 8224407051 Enrollment ID: I20221216001794 |
| Provider Name | Michelle Hershman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144666819 PECOS PAC ID: 9133484157 Enrollment ID: I20221220000828 |
| Provider Name | John Benjamin Tribble |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518164474 PECOS PAC ID: 8921134586 Enrollment ID: I20230504001772 |
| Provider Name | Stephanie Frances Cheng |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356665285 PECOS PAC ID: 1759527500 Enrollment ID: I20230606002639 |
| Provider Name | Matthew Kai Elliott |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902046162 PECOS PAC ID: 8426281585 Enrollment ID: I20230619001575 |
| Provider Name | Carl Odom |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740523513 PECOS PAC ID: 8628216769 Enrollment ID: I20231027001797 |
| Provider Name | Tyler Gasser |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427202373 PECOS PAC ID: 6608091145 Enrollment ID: I20240612004440 |
| Provider Name | Stephanie Marie Gallegos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356973499 PECOS PAC ID: 9537602313 Enrollment ID: I20240621000298 |
| Provider Name | Alison Marie Capurro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942653589 PECOS PAC ID: 5395271399 Enrollment ID: I20241213003355 |
| Provider Name | Christopher M Brady |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376738138 PECOS PAC ID: 5597836924 Enrollment ID: I20250310003427 |
| Provider Name | Mihai F Iancu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437263175 PECOS PAC ID: 5092712117 Enrollment ID: I20250512002750 |
| Provider Name | David M Klipper |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598851396 PECOS PAC ID: 0547255515 Enrollment ID: I20250514002206 |
Weiser Valley Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 E Liberty St, Weiser, ID 83672 Phone: 208-414-1124 Fax: 208-414-0947 | |
Two Rivers Medical Clinic, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 683 E 3rd St, Weiser, ID 83672 Phone: 208-549-0211 Fax: 208-549-0104 | |
Bryan L. Drake, D.o. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 E Liberty St, Weiser, ID 83672 Phone: 208-414-1124 Fax: 208-414-0947 | |
Family Medical Center Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 E Liberty St, Weiser, ID 83672 Phone: 208-414-1124 Fax: 208-414-0947 |