RALPH P CAMPANALE MD PC NPI 1114194586

NPI Information

  • NPI: 1114194586
  • Provider Name: RALPH P CAMPANALE MD PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 180 WEST 1ST ST
    SUITE 301
    KETCHUM, ID
    ZIP 83340
  • Phone: (208) 726-3707

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NPI Details

RALPH P CAMPANALE MD PC is a specialist in Ketchum, ID. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. RALPH P CAMPANALE MD PC NPI is 1114194586. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

180 WEST 1ST ST
SUITE 301
KETCHUM, ID
ZIP 83340
Phone: (208) 726-3707
Fax: (208) 726-4817

The provider's authorized official is Ralph P Campanale .
The authorized official title is Owner and has the following contact phone number (208) 726-3707.

The enumeration date for this NPI number is 5/14/2008 and was last updated on 5/14/2008.

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
1174400000XSpecialistM4961IDAHOYes

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
1002699100MEDICAIDIDAHO
2C47891MEDICARE UPINIDAHO

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: 11/21/2025

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