Southfork Healthcare
NPI 1134462856 · Primary Care Clinic/Center · Swan Valley, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southfork Healthcare is a Primary Care Clinic/Center organization in Swan Valley, ID (NPI 1134462856).
Provider details
- NPI number
- 1134462856
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Wendy Swope, Administrator(208) 360-1997
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Registry dates
- Enumerated
- 2013-04-01
- Last updated
- 2023-05-29
- Certified
- 2023-05-29
Frequently asked questions
- What is Southfork Healthcare's NPI number?
- Southfork Healthcare's National Provider Identifier (NPI) is 1134462856, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southfork Healthcare?
- Southfork Healthcare is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southfork Healthcare located?
- Southfork Healthcare's practice location on file with NPPES is 166 Elk Path, Swan Valley, ID 83449-0101.
- What is Southfork Healthcare's phone number?
- The practice phone number listed in the NPPES registry for Southfork Healthcare is (208) 360-1997.
- Does Southfork Healthcare accept Medicare?
- Southfork Healthcare 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 Southfork Healthcare?
- The authorized official listed on Southfork Healthcare's NPPES record is Wendy Swope, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southfork Healthcare's NPI active?
- Yes — Southfork Healthcare's NPI (1134462856) is active in the NPPES registry as of the last update on 2023-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.