NPI 1043927882
Core Medicine Idaho, LLC
Practice location
- Address
- 4605 Enterprise Way STE 101, Caldwell, ID 83605-8360
- Phone
- (208) 353-7518
- Mailing address
- 2667 E Gala CT STE 130, Meridian, ID 83642-2788
Authorised official
- Name
- Sophie Rath
- Title
- Mananger
- Phone
- (208) 795-5090
Registered specialties (3)
Primary Care Clinic/Center
Primary
Urgent Care Clinic/Center
Durable Medical Equipment & Medical Supplies
Registry record
- NPI
- 1043927882
- Entity type
- Organization
- NPI issued
- 1 Nov 2022
- Record last updated
- 16 Jan 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.