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

Payette Lakes Medical Clinic, PA

Primary Care Clinic/Center in Council, ID · enumerated 2007 · authorized official Jacqueline Bruns, Vp - Physician Services.

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

National Provider Identifier

1881725331

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Payette Lakes Medical Clinic, PA

Other name <Unavail>

Parent organization Payette Lakes Medical Clinic, PA

Practice address 101 Council Avenue, Suite C, Council, ID, 83612

Phone (208) 253-4915

Fax (208) 253-4917

Enumeration date Mar 8, 2007

Last updated in NPPES Mar 17, 2008

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Jacqueline Bruns

Title Vp - Physician Services

Phone (208) 634-4061

Other identifiers

Identifier	Type	State	Issuer
8G122	Other	ID	BC
000010139844	Other	ID	BS

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

What type of organization is Payette Lakes Medical Clinic, PA?

Payette Lakes Medical Clinic, PA is registered in NPPES as a Primary Care Clinic/Center (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-03-17.