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SUMMIT FAMILY HEALTH NPI 1285181404


NPI Information

NPI: 1285181404
Provider Name: SUMMIT FAMILY HEALTH
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 13D2123446

Address:
1828 S MILLENIUM WAY
STE 300
MERIDIAN, ID
ZIP 83642
Phone: (208) 893-9184
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SUMMIT FAMILY HEALTH is a family medicine in Meridian, 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. SUMMIT FAMILY HEALTH NPI is 1285181404. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1828 S MILLENIUM WAY
STE 300
MERIDIAN, ID
ZIP 83642-036
Phone: (208) 893-9184

The provider's authorized official is William Loveland .
The authorized official title is Owner and has the following contact phone number (208) 893-9184.

The CLIA number assigned to this NPI record is 13D2123446 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/6/2016 and was last updated on 11/29/2016.


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
1207Q00000XFamily MedicineM7580IDAHOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
120000379MEDICARE PINIDAHO

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: 11/14/2023

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