SAWTOOTH ORTHOPEDIC & FRACTURE CLINIC, PA – NPI #1174790257
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

SAWTOOTH ORTHOPEDIC & FRACTURE CLINIC, PA is an AHC clinic located in KETCHUM, ID. NPPES has assigned the NPI number 1174790257 to SAWTOOTH ORTHOPEDIC & FRACTURE CLINIC, PA on May 08, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty

The NPI profile was previously updated about 17 years ago on Mar 11, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAWTOOTH ORTHOPEDIC & FRACTURE CLINIC, PA below.

NPI Profile for
SAWTOOTH ORTHOPEDIC & FRACTURE CLINIC, PA

NPI Number
1174790257
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SAWTOOTH ORTHOPEDIC & FRACTURE CLINIC, PA
Primary location
100 HOSPITAL DR
SUITE 107
KETCHUM, ID 83340
Phone: (208) 622-3311 Fax: (208) 622-4919
Mailing address
PO BOX 1332
SUN VALLEY, ID 83353-1332
Phone: (208) 622-3311 Fax: (208) 622-4919
Organization Subpart
No
Authorized Official
DELMER PLETCHER
OWNER
Phone: (208) 622-3311
Updated
Identifiers

Identifiers for SAWTOOTH ORTHOPEDIC & FRACTURE CLINIC, PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDID1111633
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM2500X
- Clinic/Center / Medical Specialty (Primary)
ID M3574

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.