Alpine Family Medicine
Organization Active NPI Family Medicine Physician · Sandpoint, ID
NPI 1194253336 · NPPES record last updated Sep 5, 2017
Key facts
- NPI
- 1194253336
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- NP-1211A (ID)
- Legal business name
- ALPINE FAMILY MEDICINE
- Practice address
- 1013 Lake St Ste 102
Sandpoint, ID 83864-5002 - Phone
- (208) 597-7910
- NPI assigned
- Jun 1, 2017
- Organization subpart
- No
Authorized official
- Name
- Katie Sweeney, FNP
- Title
- Owner
- Phone
- (208) 597-7910
Practitioners 7
-
Ann L Cox, NP
-
Colleen Ruth Field, ARNP
-
Kaylee Grahnert, APRN-CNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170810001164 | ID | Part B Supplier - Clinic/Group Practice | 3274804109 |
Receives reassigned benefits from 2 practitioners Practice locations: Sandpoint, ID |
National Provider Directory
Locations
1555 Ontario St
Sandpoint, ID 83864
Phone (208) 597-7910
734 9th St W
Ste 12
Columbia Fls, MT 59912
Phone (406) 471-2022
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | NP-1211A | ID | Yes |
Addresses
Primary practice location
1013 Lake St Ste 102
Sandpoint, ID 83864-5002
Mailing address
PO Box 3482
Post Falls, ID 83877-3482
Other providers in Sandpoint, ID
- Alliance Family Services North
- Alliance Family Services North, Inc
- Alliance Family Services North, Inc.
- Alliance Family Services North, Inc.
- Alliance Psychiatric Wellness, PLLC
- Alpine Hand Therapy Inc
- Alternative Community Enrichment Services
- Alternative Community Enrichment Services
- Chandelle Renee Alverson
- Ambridge Chiropractic Neurology PC
All providers in Sandpoint, ID · Family Medicine Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.