Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Doctors Clinic of Elmore County PLLC

Organization Family Medicine Physician · NPI 1063578664

Doctors Clinic of Elmore County PLLC is a Family Medicine Physician in Mountain Home, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2000 American Legion Blvd
Mountain Home, ID 83647-3138
Phone: (208) 587-1500
Fax: (208) 587-3180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence O-91 (ID)
Physician Assistant Taxonomy 363A00000X · Licence PA-265 (ID)

Record details

NPI number1063578664
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Layne Roberts — Physician · (208) 587-1500
NPI enumeratedDecember 28, 2006
Last updated in NPPESFebruary 25, 2008
Mailing address2000 American Legion Blvd, Mountain Home, ID 83647-3138

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