DOMINICAN HEALTH SERVICES NPI 1750372579

NPI Information

  • NPI: 1750372579
  • Provider Name: DOMINICAN HEALTH SERVICES
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 1118 NW 16TH ST
    FRUITLAND, ID
    ZIP 83619
  • Phone: (208) 452-6851

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NPI Details

DOMINICAN HEALTH SERVICES is a family medicine in Fruitland, ID. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DOMINICAN HEALTH SERVICES NPI is 1750372579. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1118 NW 16TH ST
FRUITLAND, ID
ZIP 83619-271
Phone: (208) 452-6851
Fax: (541) 881-7156

The provider's authorized official is Mark Dalley .
The authorized official title is Ceo and has the following contact phone number (541) 881-7020.

The enumeration date for this NPI number is 11/1/2005 and was last updated on 6/25/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine00189759321500OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11257773MEDICARE ID-TYPE UNSPECIFIEDIDAHOMEDICARE
2X-009702000OTHEROREGONBLUE CROSS OF OREGON
3CG7333MEDICARE ID-TYPE UNSPECIFIEDIDAHORRMC
4134054MEDICAIDOREGON
5E8340OTHERIDAHOBCID GROUP
68053332-00MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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