Doctors Clinic of Elmore County PLLC
NPI 1063578664ActiveOrganization· Family Medicine· Mountain Home, ID
Family Medicine in Mountain Home, Idaho, registered in NPPES in December 2006. The authorized official on file is Layne D. Roberts, D.O., Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063578664 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 28, 2006 |
| Last updated in NPPES | Feb 25, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | O-91 | ID |
| Physician Assistant | 363A00000X | PA-265 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
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