OrganizationActive
Legacy Primary Care, LLC
NPI 1568289247 · Primary Care Clinic/Center · Meridian, ID
Provider details
- NPI number
- 1568289247
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Cheryl Fish, Owner(208) 570-2707
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2667 E Gala Ct Ste 100
Meridian, ID 83642-2792
Phone: (208) 570-2707
Street-level locationGet directions
Mailing address
2273 E Gala St Ste 120
Meridian, ID 83642-7289
Registry dates
- Enumerated
- 2024-09-24
- Last updated
- 2024-10-16
- Certified
- 2024-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.