Clinic at Eagle LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CLINIC AT EAGLE LLC

Practice address

600 E State St
Suite 200
Eagle, ID 83616-6081

Phone

(208) 939-2237

Fax

(208) 939-5888

NPI assigned

Mar 29, 2006

Organization subpart

No

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

Authorized official

Name

Kathe Alkire, CRNP

Title

Owner

Phone

(208) 939-2273

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katherine T Coate, NP

  • Nurse Practitioner
  • Eagle, ID
  • NPI 1619939451
  NPD (past)
• Marcia D Price-Miller, M.D.

  • Family Medicine Physician
  • Eagle, ID
  • NPI 1376504498
  NPD (past)
• Alessa L Lopez-Castor, FNP-C

  • Nurse Practitioner
  • Tulalip, WA
  • NPI 1285661744
  NPD (past)

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1306807441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9589",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837074589",
            "telephone_number": "208-472-8112",
            "fax_number": "208-472-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E STATE ST",
            "address_2": "SUITE 200",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166081",
            "telephone_number": "208-939-2237",
            "fax_number": "208-939-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC AT EAGLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "ALKIRE",
        "authorized_official_first_name": "KATHE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-939-2273",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010135253",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8G171",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashlyn Clark
• Jessica Ann Clark, AU.D.
• Russell Clark, AUD
• Ashlyn Clausen
• Clearwater Advanced Surgical Associates LLC
• Nicole Clover
• Kiersten Cluff
• Katherine T Coate, NP
• Lori Coate, COTA
• Kristina Coffey, PA

• Family Medicine Physician in Eagle, ID
• Providers in Eagle, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.