Organization
MINIDOKA MEMORIAL HOSPITAL
Active
Parent organization
MINIDOKA MEMORIAL HOSPITAL
Other names
MMH Physicians
Organization subpart
Yes
Provider details
NPI number
Legal business name
MINIDOKA MEMORIAL HOSPITAL
Authorized official
THOMAS J MURPHY (ADMINISTRATOR)
(208) 436-0481
Entity
Organization
Contact information
Practice address
1224 8TH ST, RUPERT, ID 83350-1527
(208) 436-0481
(208) 434-8675
Mailing address
1224 8TH ST, RUPERT, ID 83350-1527
(208) 436-0481
(208) 436-6038
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
208600000X
Surgery Physician
—
—
208M00000X
Hospitalist Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
213E00000X
Podiatrist
—
—
261QE0002X
Emergency Care Clinic/Center
Primary
26
ID
363LF0000X
Family Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010006547
BLUE SHIELD ER
ID
01
—
8D418
BLUE CROSS ER
ID
05
—
M0023361
—
ID
Enumeration date
05/09/2007
Last updated
06/25/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us