SHOSHONE MEDICAL CENTER
SHOSHONE MEDICAL CENTER is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1043215437, based in Kellogg, ID. It is classified under Critical Access Hospital.
Getting there
The practice address on file is 25 JACOBS GULCH RD, Kellogg, ID 83837. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 44 | ID | Critical Access Hospital primary |
This provider holds licence 44 issued in ID. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 6103739107
Enrolled in Medicare 3 times, across 1 state:
| State | Enrollment ID | Provider type |
|---|---|---|
| Idaho | O20050113001084 | Part B Supplier - Clinic/group Practice |
| Idaho | O20061104000442 | Part A Provider - Critical Access Hospital |
| Idaho | O20071003000175 | Part A Provider - Critical Access Hospital |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 3 separate enrolment records. Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Critical Access covers
Definition to come. NUCC Health Care Provider Taxonomy, code 282NC0060X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1043215437 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jun 14, 2005 |
| Last updated | Apr 27, 2021 |
| Status | Active |
| Practice address |
25 JACOBS GULCH RD Kellogg, ID 83837 (208) 784-7017 Fax (208) 786-1019 |
| Other identifiers |
86405
· Other (ID) 3504605 · Other 002862700 · Medicaid (ID) 3016300 · Other 0082553 · Other 411320 · Other 000010000167 · Other (ID) 002861700 · Medicaid (ID) 00513 · Other (ID) 10004 · Other 7043250 · Other 002861800 · Medicaid (ID) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 4 | 3 | 2 | 1 | 5 | 4 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 8 | 3 | 4 | 1 | 1 | 4 | 6 |
Sum = 53 · next multiple of 10 = 60 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.