Shoshone Medical Center
NPI 1043215437 · Critical Access Hospital · Kellogg, ID
Enrolled with Medicare as Part a Provider - Critical Access Hospital · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shoshone Medical Center is a Critical Access Hospital organization in Kellogg, ID (NPI 1043215437).
Provider details
- NPI number
- 1043215437
- Entity type
- Organization
- Primary specialty
- Critical Access HospitalHospitals
- Organization subpart
- No
- Authorized official
- Donja Erdman, Cfo(208) 784-1221
- License
- 44 (ID)
Specialties & taxonomies
Hospitals
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- West Shoshone Hospital District
- Former legal business name
- West Shoshone Hospital District
Registry dates
- Enumerated
- 2005-06-14
- Last updated
- 2021-04-27
- Certified
- 2021-04-27
Frequently asked questions
- What is Shoshone Medical Center's NPI number?
- Shoshone Medical Center's National Provider Identifier (NPI) is 1043215437, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shoshone Medical Center?
- Shoshone Medical Center is classified in the NPPES registry as Critical Access Hospital (Hospitals).
- Where is Shoshone Medical Center located?
- Shoshone Medical Center's practice location on file with NPPES is 25 Jacobs Gulch Rd, Kellogg, ID 83837-2023.
- What is Shoshone Medical Center's phone number?
- The practice phone number listed in the NPPES registry for Shoshone Medical Center is (208) 784-7017.
- Does Shoshone Medical Center accept Medicare?
- Shoshone Medical Center is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Shoshone Medical Center?
- The authorized official listed on Shoshone Medical Center's NPPES record is Donja Erdman, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shoshone Medical Center's NPI active?
- Yes — Shoshone Medical Center's NPI (1043215437) is active in the NPPES registry as of the last update on 2021-04-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.