Organization
SALMON RIVER CLINIC HOSPITAL DISTRICT
Active
Other names
Salmon River Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
AMY MERCANTINI KLINGLER PA-C (PA/ADMINISTRATOR)
(208) 774-3565
Entity
Organization
Contact information
Practice address
110 NIECE AVENUE, STANLEY, ID 83278-0129
(208) 774-3565
Mailing address
PO BOX 129, STANLEY, ID 83278-0129
(208) 774-3565
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-4162
ID
363A00000X
Physician Assistant
PA-492
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806387200
—
ID
Enumeration date
10/20/2006
Last updated
03/20/2026
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