Organization · Type 2 NPI

Cascade Medical Center Hospital District

Rural Health Clinic/Center · Donnelly, ID

NPI number 1821864877 Active

Practice location

454 W Roseberry Road, Suite 103
Donnelly, ID 83615

Call (208) 382-4285 Map

Fax (208) 382-5081

Mailing address

PO Box 1330
Cascade, ID 83611-1330

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

NPI record

NPI: 1821864877
Entity type: Organization (Type 2)
Issued: Nov 30, 2023
Last updated: Feb 11, 2025
Status: Active
Subpart: Yes of Cascade Medical Center Hospital District

Other names

<unavail>
Cascade Medical Center Donnelly Clinic · doing business as
Cascade Medical Center Donnelly Clinic · doing business as

Authorized official

Sarah Hasbrouck
Business Office Manager
(208) 408-5025

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1821864877

Cascade Medical Center Hospital District's National Provider Identifier is 1821864877, issued on Nov 30, 2023. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Donnelly, ID. The record was last updated on Feb 11, 2025.