Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Elmore Medical Center Specialty Physician Group

Critical Access Hospital in Mountain Home, ID · enumerated 2008 · authorized official Mary Janousek, Office Manager.

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

National Provider Identifier

1417122821

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Elmore Medical Center Specialty Physician Group

Parent organization Elmore Medical Center Hospital District

Practice address 890 N 6th E, Mountain Home, ID, 83647

Phone (208) 587-8401

Fax (208) 587-8406

Enumeration date Apr 25, 2008

Last updated in NPPES May 28, 2009

Taxonomy & classification

282NC0060X Critical Access Hospital Hospitals Primary

Authorized official

Name Mary Janousek

Title Office Manager

Phone (208) 587-8401

Other identifiers

Identifier	Type	State	Issuer
000010149755	Other	ID	BLUE SHIELD PROF NUMBER
000014148578	Other	ID	BLUE SHIELD
002860700	Medicaid	ID	-
8K594	Other	ID	BLUE CROSS

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 → Validate an NPI →

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 2009-05-28. Verify at npiregistry.cms.hhs.gov.

Where is Elmore Medical Center Specialty Physician Group located?

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

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-05-28.