OrganizationActive
Core Medicine Idaho, LLC
NPI 1043927882 · Primary Care Clinic/Center · Caldwell, ID
Provider details
- NPI number
- 1043927882
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sophie Rath, Mananger(208) 795-5090
Specialties & taxonomies
Ambulatory Health Care Facilities
- Urgent Care Clinic/Center261QU0200X
Ambulatory Health Care Facilities
Suppliers
Practice location
4605 Enterprise Way
Ste 101
Caldwell, ID 83605-8360
Phone: (208) 353-7518
Approximate (ZIP-level) locationGet directions
Mailing address
2667 E Gala Ct Ste 130
Meridian, ID 83642-2788
Other names (DBA / former)
- Doing business as
- Core Medicine of Idaho
- Doing business as
- Core Medicine of Idaho
Registry dates
- Enumerated
- 2022-11-01
- Last updated
- 2024-01-16
- Certified
- 2024-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.