OrganizationActive
Mountain Health Services PC
NPI 1164539912 · Family Medicine Physician · Kellogg, ID
Provider details
- NPI number
- 1164539912
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Frederick Haller, Medical Director(208) 783-1267
- License
- M8355 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
740 Mckinley Ave
Kellogg, ID 83837-2693
Phone: (208) 783-1267
Fax: (208) 786-4471
Street-level locationGet directions
Mailing address
740 Mckinley Ave
Kellogg, ID 83837-2693
Registry dates
- Enumerated
- 2006-08-25
- Last updated
- 2013-02-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.