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

Mountain Health Services PC

Organization Family Medicine Physician · NPI 1164539912

Mountain Health Services PC is a Family Medicine Physician in Kellogg, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

740 McKinley Ave
Kellogg, ID 83837-2693
Phone: (208) 783-1267
Fax: (208) 786-4471
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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 M8355 (ID)

Record details

NPI number1164539912
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Frederick Haller — Medical Director · (208) 783-1267
NPI enumeratedAugust 25, 2006
Last updated in NPPESFebruary 14, 2013
Mailing address740 McKinley Ave, Kellogg, ID 83837-2693

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