# SALMON RIVER CLINIC HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Salmon River Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083796569
- **Authorized official:** AMY MERCANTINI KLINGLER PA-C (PA/ADMINISTRATOR)
- **Authorized official phone:** (208) 774-3565

## Contact information

- **Practice address:** 110 NIECE AVENUE, STANLEY, ID 83278-0129
- **Practice address phone:** (208) 774-3565
- **Mailing address:** PO BOX 129, STANLEY, ID 83278-0129
- **Mailing address phone:** (208) 774-3565

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | M-4162 | ID | Yes |
| 363A00000X | Physician Assistant | PA-492 | ID | — |

## Other

- **Enumeration date:** 10/20/2006
- **Last updated:** 03/20/2026