HEALTHCARE WITH HEART LLC NPI 1053521344

NPI Information

NPI: 1053521344
Provider Name: HEALTHCARE WITH HEART LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 13D1058756

Address:
823 CENTER AVE
PAYETTE, ID
ZIP 83661
Phone: (208) 642-3396
Get Directions

HEALTHCARE WITH HEART LLC is a family medicine in Payette, 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. HEALTHCARE WITH HEART LLC NPI is 1053521344. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

823 CENTER AVE
PAYETTE, ID
ZIP 83661-535
Phone: (208) 642-3396
Fax: (208) 642-9060

The provider's authorized official is Ronald Eugene Carroll .
The authorized official title is Owner and has the following contact phone number (208) 989-0070.

The CLIA number assigned to this NPI record is 13D1058756 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/23/2007 and was last updated on 6/14/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		M4116	IDAHO	No
2	363LF0000X	Nurse Practitioner	Family	N19189	IDAHO	No
3	207Q00000X	Family Medicine				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	R108734	OTHER		NORIDIAN
2	D80174720	OTHER		MEDICARE-RAILROAD
3	NPPU5	OTHER		BLUE CROSS-LP
4	8K818	OTHER		BLUE CROSS-GROUP
5	278542	MEDICAID	OREGON
6	000010147752	OTHER		REGENCE-LP
7	000010005775	OTHER		REGENCE-REC
8	231902	MEDICAID	OREGON
9	0036365	MEDICAID	IDAHO
10	73437	OTHER		BLUE CROSS-REC
11	806957500	MEDICAID	IDAHO

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

NPI Synchronization or Removal

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