PRECISION WOUND CARE PC NPI 1730026113

NPI Information

  • NPI: 1730026113
  • Provider Name: PRECISION WOUND CARE PC
  • Classification: Family Medicine - 207QA0505X
  • Specialization: Adult Medicine
  • Entity Type: Organization
  • Address: 444 HOSPITAL WAY STE 600
    POCATELLO, ID
    ZIP 83201
  • Phone: (208) 417-1011

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NPI Details

PRECISION WOUND CARE PC is an adult medicine family medicine in Pocatello, ID. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. PRECISION WOUND CARE PC NPI is 1730026113. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

444 HOSPITAL WAY STE 600
POCATELLO, ID
ZIP 83201-714
Phone: (208) 417-1011

The provider's authorized official is Eric Jensen .
The authorized official title is President and has the following contact phone number (208) 417-1011.

The enumeration date for this NPI number is 5/2/2026 and was last updated on 5/2/2026.

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
1207QA0505XFamily MedicineAdult MedicineYes

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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