PROJECT PATCH NPI 1487514113

NPI Information

  • NPI: 1487514113
  • Provider Name: PROJECT PATCH
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Organization
  • Address: 116 BRUSH CREEK RD
    GARDEN VALLEY, ID
    ZIP 83622
  • Phone: (208) 739-8991

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NPI Details

PROJECT PATCH is a student in an organized health care education training program in Garden Valley, ID. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. PROJECT PATCH NPI is 1487514113. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

116 BRUSH CREEK RD
GARDEN VALLEY, ID
ZIP 83622-011
Phone: (208) 739-8991

The provider's authorized official is Jill White .
The authorized official title is Intern and has the following contact phone number (208) 739-8991.

The enumeration date for this NPI number is 11/14/2025 and was last updated on 11/14/2025.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

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

NPI Synchronization or Removal

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