NPI 1477177921
Whitewater Healthcare LLC
Practice location
- Address
- 240 W Burnside Ave STE B, Chubbuck, ID 83202-4703
- Phone
- (086) 372-2732
Authorised official
- Name
- Amber L Tueller
- Title
- Secretary
- Phone
- (208) 207-2726
Registered specialties
Home Health Agency
Primary
Registry record
- NPI
- 1477177921
- Entity type
- Organization
- NPI issued
- 1 Jun 2020
- Record last updated
- 10 Jun 2025
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.