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EAGLE HEALTH AND WELLNESS INC NPI 1083937049


NPI Information

NPI: 1083937049
Provider Name: EAGLE HEALTH AND WELLNESS, INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3771 N EAGLE RD
BOISE, ID
ZIP 83713
Phone: (208) 938-4040
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EAGLE HEALTH AND WELLNESS, INC is a family medicine in Boise, ID. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. EAGLE HEALTH AND WELLNESS, INC NPI is 1083937049. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3771 N EAGLE RD
BOISE, ID
ZIP 83713-005
Phone: (208) 938-4040
Fax: (208) 938-4099

The provider's authorized official is Katherine Michelle Elstun .
The authorized official title is President And Medical Director and has the following contact phone number (208) 938-4040.

The enumeration date for this NPI number is 3/4/2010 and was last updated on 3/4/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorLCPC-2918IDAHONo
2111N00000XChiropractorCHIA-1198IDAHONo
3207Q00000XFamily MedicineM-9150IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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