Glenns Ferry Health Center, Inc. - Medicare Primary Care in Glenns Ferry, ID

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Glenns Ferry Health Center, Inc. is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Glenns Ferry, Idaho. The current practice location for Glenns Ferry Health Center, Inc. is 486 W 1st Ave, Glenns Ferry, Idaho. For appointments, you can reach them via phone at (208) 366-7416. The mailing address for Glenns Ferry Health Center, Inc. is 120 Desert Sage Way, Mountain Home, Idaho and phone number is (208) 587-3398.

Glenns Ferry Health Center, Inc. is licensed to practice in Idaho (license number ). The clinic also participates in the medicare program and its NPI number is 1376673137. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (208) 366-7416.

Contact Information

Glenns Ferry Health Center, Inc.
486 W 1st Ave
Glenns Ferry
ID 83623-2701
(208) 366-7416
(208) 587-3324

Map and Direction


Primary Care Clinic Profile

Full NameGlenns Ferry Health Center, Inc.
SpecialityClinic/Center
Location486 W 1st Ave, Glenns Ferry, Idaho
Authorized Official Name and PositionAmber E Jordan (CEO)
Authorized Official Contact2086967157
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Glenns Ferry Health Center, Inc.
120 Desert Sage Way
Mountain Home
ID 83647-1038

Ph: (208) 587-3398		Glenns Ferry Health Center, Inc.
486 W 1st Ave
Glenns Ferry
ID 83623-2701

Ph: (208) 366-7416

NPI Details:

NPI Number1376673137
Provider Enumeration Date03/07/2007
Last Update Date09/18/2024

Medicare PECOS Information:

Medicare PECOS PAC ID5496656894
Medicare Enrollment IDO20040119000307

Medical Identifiers

Medical identifiers for Glenns Ferry Health Center, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376673137NPI-NPPES
002550500MedicaidID
002550200MedicaidID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (Idaho)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Glenns Ferry Health Center, Inc. acts as a billing entity for following providers:
Provider NameSaad Hijazi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1942410212
PECOS PAC ID: 8628095403
Enrollment ID: I20081211000540
Provider NameHarry Lazarte
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1548486053
PECOS PAC ID: 1456424274
Enrollment ID: I20101105001023
Provider NameKrzysztof H Ziola
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1073692166
PECOS PAC ID: 2961464987
Enrollment ID: I20101122000932
Provider NameDawn D Best
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003049925
PECOS PAC ID: 9638327448
Enrollment ID: I20120920000505
Provider NameDeborah S Glasscock
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1730415993
PECOS PAC ID: 4587815840
Enrollment ID: I20121114000099
Provider NameKelly A Thomas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710395298
PECOS PAC ID: 7012239445
Enrollment ID: I20141212002298
Provider NameNicholas J Arbon
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1174922355
PECOS PAC ID: 3870802499
Enrollment ID: I20151022000882
Provider NameHeather L King
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164895371
PECOS PAC ID: 3274821525
Enrollment ID: I20161019001799
Provider NameDarin K Gere
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1780918268
PECOS PAC ID: 7214202928
Enrollment ID: I20171005002597
Provider NameJamie Coffey Kelly
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1992135818
PECOS PAC ID: 5597020842
Enrollment ID: I20180607001888
Provider NameKatherine A Gray
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427407824
PECOS PAC ID: 9739446568
Enrollment ID: I20200107002738
Provider NameCynthia G Medrano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053703504
PECOS PAC ID: 2769796291
Enrollment ID: I20200114003307
Provider NamePaulette A Flores
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1982917472
PECOS PAC ID: 8325214026
Enrollment ID: I20200123002531
Provider NameAusten Kemper
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1306497060
PECOS PAC ID: 5890121586
Enrollment ID: I20200128001218
Provider NameGenevieve Marie Leetham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669027793
PECOS PAC ID: 5698171262
Enrollment ID: I20210907002036
Provider NameThor Hauff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336378124
PECOS PAC ID: 4183806664
Enrollment ID: I20230418002040
Provider NameAdriana Crompton
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1184104697
PECOS PAC ID: 2466817507
Enrollment ID: I20230425002295
Provider NameMelinda Carpenter
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1013469808
PECOS PAC ID: 0042650103
Enrollment ID: I20240506004807

Reviews and Comments


Clinic/Center in Glenns Ferry, ID

Xray Ekg
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 486 W 1st Ave, Glenns Ferry, ID 83623
Phone: 208-366-7416    Fax: 208-366-2595

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.