LOST RIVERS DISTRICT HOSPITAL (NPI# 1689672495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689672495 |
| Entity Type | Organization |
| Organization Name | LOST RIVERS DISTRICT HOSPITAL |
| Other Organization Name | LOST RIVERS LIVING CENTER |
| Practice Address |
551 Highland Dr Arco ID 83213-9771 |
| Mailing Address |
Po Box 145 Arco ID 83213-0145 |
| Practice Telephone | 2085278206 |
| Practice Fax Number | 2085273430 |
| Mailing Telephone | 2085278206 |
| Mailing Fax Number | 2085273430 |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2013-01-16 |
| Authorized Official Name | MR. KIM DAHLMAN (CEO) |
| Authorized Official Telephone | 2085278206 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | H45 | ID | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 002301800 | 05 |
| Other Name | Type Code |
|---|---|
| LOST RIVERS LIVING CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285747055 | Lost Rivers District Hospital | Hospice, Inpatient | 551 Highland Dr, Arco, ID 83213 | 2006-08-16 |
| 1336147149 | Lost Rivers District Hospital | Home Health | 551 Highland Dr, Arco, ID 83213-9771 | 2005-07-14 |
| Street Address |
551 HIGHLAND DR |
| City | ARCO |
| State | ID |
| Zip Code | 83213-9771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114925047 | Lost Rivers Medical Center | General Acute Care Hospital | 551 Highland Dr, Arco, ID 83213-9771 | 2005-07-13 |
| 1629627575 | Kristy L Unruh | Nurse Practitioner | 551 Highland Dr, Arco, ID 83213-5003 | 2019-09-04 |
| 1922355049 | Mary Spraktes | Nurse Practitioner | 551 Highland Dr, Arco, ID 83213-5003 | 2012-08-08 |
| 1538399712 | Helen Michelle Pearson | Chiropractor | 551 Highland Dr, Arco, ID 83213-5003 | 2009-07-22 |
| 1265515357 | Lost Rivers Hospital Pharmacy | Pharmacist | 551 Highland Dr, Arco, ID 83213 | 2006-10-23 |
| 1992808059 | Bengal Pharmacy | Pharmacy | 551 Highland Dr, Arco, ID 83213-5003 | 2006-09-06 |
| 1285747055 | Lost Rivers District Hospital | Hospice, Inpatient | 551 Highland Dr, Arco, ID 83213 | 2006-08-16 |
| 1134130107 | Lost Rivers Medical Center | Skilled Nursing Facility | 551 Highland Dr, Arco, ID 83213 | 2006-08-11 |
| 1427062181 | Lost Rivers Medical Center | Family Medicine | 551 Highland Dr, Arco, ID 83213-5003 | 2006-07-28 |
| 1336147149 | Lost Rivers District Hospital | Home Health | 551 Highland Dr, Arco, ID 83213-9771 | 2005-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457608671 | Eagle Rock Dental Care Arco Pllc | Dentist | 520 Highland Dr., Arco, ID 83213 | 2012-08-07 |
| 1306104641 | Badger Inc | Counselor | 159 North Idaho Ave, Arco, ID 83213 | 2012-04-24 |
| 1194947358 | Butte County School District 111 | Specialist | 246 Sunset Drive, Arco, ID 83213 | 2007-05-03 |
| 1447476551 | Lost Rivers Emt | Ambulance | 201 North Idaho Street, Arco, ID 83213 | 2007-04-17 |
| 1588786875 | Channing Way Dental Dba Lost Rivers Dental | Dentist | 520 Highland Drive, Arco, ID 83213 | 2007-04-06 |
| 1184632382 | Apria Healthcare Inc | Durable Medical Equipment & Medical Supplies | 159 North Idaho St., #102, Arco, ID 83213 | 2006-08-03 |
| 1588910913 | Lost River Emt | Ambulance | 201 N. Idaho St., Arco, ID 83213-0503 | 2012-08-03 |
| 1760696447 | Hal J Jardine | Counselor | 630 N Front St, Arco, ID 83213-8756 | 2007-05-10 |
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1407462906 | Etosha Assisted Living, Inc | Assisted Living Facility | 243 N 300 E, Rupert, ID 83350-9491 | 2020-09-20 |
| 1548886963 | Diamond View Care Properties, LLC | Assisted Living Facility | 3570 E Amity Rd, Meridian, ID 83642-7014 | 2020-06-22 |
| 1619593068 | Frontier Management, LLC | Assisted Living Facility | 10250 W Smoke Ranch Dr, Boise, ID 83709-1467 | 2020-06-22 |
| 1174149991 | Rsl Renaissance, LLC | Assisted Living Facility | 2772 W Avante Loop, Coeur D Alene, ID 83815-0333 | 2020-06-17 |
| 1891319141 | Grace At Caldwell LLC | Assisted Living Facility | 518 N 21st Ave, Caldwell, ID 83605-4368 | 2020-06-02 |
| 1790309045 | Grace At Fairview Lakes LLC | Assisted Living Facility | 1960 N Lakes Pl, Meridian, ID 83646-5939 | 2020-06-02 |
| 1164046413 | Grace Memory Care At State Street LLC | Assisted Living Facility | 9779 W State St, Boise, ID 83714-1638 | 2020-06-02 |
| 1356965693 | Grace At State Street LLC | Assisted Living Facility | 9995 W State St, Boise, ID 83714-1636 | 2020-06-02 |
| 1336763689 | Grace LLC | Assisted Living Facility | 1610 Sunnyridge Rd, Nampa, ID 83686-7401 | 2020-06-02 |
| 1447874797 | Grace At Englefield Green LLC | Assisted Living Facility | 250 S Allumbaugh Way, Boise, ID 83709-5624 | 2020-06-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.