NPI 1457092058
Clark Fork Healthcare, LLC
Practice location
- Address
- 1675 E Riverside Dr STE 200, Eagle, ID 83616-7473
- Phone
- (208) 401-1400
Authorised official
- Name
- Lee Johnson
- Title
- Treasurer
- Phone
- (208) 401-1369
Registered specialties
Home Health Agency
Primary
Registry record
- NPI
- 1457092058
- Entity type
- Organization
- NPI issued
- 6 Apr 2022
- Record last updated
- 6 Apr 2022
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.