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Mountain Health Services PC

Family Medicine Physician in Kellogg, ID · enumerated 2006 · authorized official Frederick Haller, Medical Director.

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

National Provider Identifier

1164539912

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Registry record

Entity type Organization (Type 2)
Legal business name Mountain Health Services PC
Practice address 740 Mckinley Ave, Kellogg, ID, 83837
Phone (208) 783-1267
Fax (208) 786-4471
Enumeration date Aug 25, 2006
Last updated in NPPES Feb 14, 2013

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License M8355 (ID) Primary

Authorized official

Name Frederick Haller
Title Medical Director
Phone (208) 783-1267

Other identifiers

Identifier Type State Issuer
002790500 Medicaid ID -
000010006537 Other ID REGENCE
CC9834 Other ID RAILROAD MEDICARE
8A570 Other ID BLUE CROSS OF IDAHO

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

What is the NPI number for Mountain Health Services PC?
The NPI for Mountain Health Services PC is 1164539912, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Mountain Health Services PC?
NPPES lists Frederick Haller (Medical Director) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-02-14.