Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Shoshone Medical Center

Critical Access Hospital in Kellogg, ID · enumerated 2005 · authorized official Donja Erdman, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1043215437

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Registry record

Entity type Organization (Type 2)

Legal business name Shoshone Medical Center

Other name <Unavail>

Practice address 25 Jacobs Gulch Rd, Kellogg, ID, 83837

Phone (208) 784-7017

Fax (208) 786-1019

Enumeration date Jun 14, 2005

Last updated in NPPES Apr 27, 2021

Taxonomy & classification

282NC0060X Critical Access Hospital Hospitals · License 44 (ID) Primary

Authorized official

Name Donja Erdman

Title Cfo

Phone (208) 784-1221

Other identifiers

Identifier	Type	State	Issuer
86405	Other	ID	BLUE CROSS OF IDAHO
3504605	Other	-	MONTANA MEDICAID
002862700	Medicaid	ID	-
3016300	Other	-	WASHINGTON MEDICAID
0082553	Other	-	WASHINGTON L & I
411320	Other	-	MONTANA MEDICAID
000010000167	Other	ID	REGENCE
002861700	Medicaid	ID	-
00513	Other	ID	BLUE CROSS OF IDAHO
10004	Other	-	WASHINGTON L & I
7043250	Other	-	WASHINGTON MEDICAID
002861800	Medicaid	ID	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-04-27. Verify at npiregistry.cms.hhs.gov.

Where is Shoshone Medical Center located?

The practice location on file with NPPES is in Kellogg, ID.

Providers at this address

Browse all →

Thomas Heston Family Medicine Physician · Kellogg, ID NPI 1861447245 Jennifer Backman Family Medicine Physician · Kellogg, ID NPI 1306862388 Benjamin Krasin Internal Medicine Physician · Kellogg, ID NPI 1316327927 Farah Vega Hospitalist Physician · Kellogg, ID NPI 1114389665 Joanne Swiatek Occupational Therapist · Kellogg, ID NPI 1962981951 Emma Stayduhar Physical Medicine & Rehabilitation Physician · Kellogg, ID NPI 1164903076 Shoshone Medical Center Family Medicine Physician · Kellogg, ID NPI 1487272399 Shoshone Medical Center Critical Access Hospital · Kellogg, ID NPI 1750015178

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-04-27.