Organization Active NPI

RMHW Meridian South LLC.

  • Family Medicine Physician
  • Meridian, ID
National Provider Identifier
1215106695
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RMHW MERIDIAN SOUTH LLC.
Practice address
2985 S. Meridian Rd.
Ste 100
Meridian, ID 83642-7088
Phone
(208) 287-9444
Fax
(208) 287-6570
NPI assigned
Feb 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Erin J Pretty Weasel
Title
Coo
Phone
(208) 938-5680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2985 S. Meridian Rd.
Ste 100
Meridian, ID 83642-7088

Mailing address

951 E. Plaza Dr.
Ste 110
Eagle, ID 83616-6567
Phone (208) 938-5680

National Provider Directory

National Provider Directory

Locations

2958 S Meridian Rd
Ste 100
Meridian, ID 83642
Phone (208) 287-9444

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1215106695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 E. PLAZA DR.",
            "address_2": "STE 110",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166567",
            "telephone_number": "208-938-5680",
            "fax_number": "208-938-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2985 S. MERIDIAN RD.",
            "address_2": "STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427088",
            "telephone_number": "208-287-9444",
            "fax_number": "208-287-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RMHW MERIDIAN SOUTH LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "PRETTY WEASEL",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "208-938-5680"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.