Mountain Health Services PC
Mountain Health Services PC is a healthcare organization registered as Family Medicine Physician in Kellogg, ID, holding Type 2 (organization) NPI 1164539912 since 2006. The authorized official on file is Frederick Haller, Medical Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1164539912 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mountain Health Services PC |
| Practice address | 740 MCKINLEY AVE, Kellogg, ID, 83837 |
| Phone | 2087831267 |
| Fax | 2087864471 |
| Enumeration date | 2006-08-25 |
| Last updated in NPPES | 2013-02-14 |
Authorized official
| Name | Frederick Haller |
|---|---|
| Title | Medical Director |
| Phone | 2087831267 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Primary | M8355 | ID |
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 |
Copy-ready billing details
Provider: Mountain Health Services PC NPI: 1164539912 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 740 MCKINLEY AVE, Kellogg, ID, 83837
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1740273044 | Steven Malek | Individual | Family Medicine Physician | Kellogg, ID |
| 1457346603 | Jocelyn Korasick | Individual | Family Medicine Physician | Kellogg, ID |
| 1396797726 | Frederick Haller | Individual | Internal Medicine Physician | Kellogg, ID |
| 1467496323 | Cory Lewis | Individual | Physical Therapist | Kellogg, ID |
| 1285678912 | Robert Fallon | Individual | Surgery Physician | Kellogg, ID |
| 1700898376 | Kellogg Physical Therapy Inc | Organization | Physical Therapist | Kellogg, ID |
| 1194832048 | Global Nuclear Medicine | Organization | Medical Specialty Clinic/Center | Kellogg, ID |
| 1588799902 | Kohal Pharmacy Inc | Organization | Community/Retail Pharmacy | Kellogg, ID |
Verify this record
Cross-check NPI 1164539912 against the authoritative CMS record: view Mountain Health Services PC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Mountain Health Services PC?
Who is the authorized official for Mountain Health Services PC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-02-14.