Patriot Healthcare, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PATRIOT HEALTHCARE, LLC

Doing business as

Patriot Healthcare Family ad Urgent Care

Practice address

144 Oasis Dr
Pocatello, ID 83204-4826

Phone

(208) 541-0920

NPI assigned

Mar 7, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth Ray Lowther, FNP-C

Title

Medical Director/Ceo

Phone

(208) 541-0920

Specialties & licenses 1

Addresses

Other names 1

• Patriot Healthcare Family ad Urgent Care Doing business as

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1376083568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 OASIS DR",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832044826",
            "telephone_number": "208-541-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 OASIS DR",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832044826",
            "telephone_number": "208-541-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOT HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "LOWTHER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/CEO",
        "authorized_official_telephone_number": "208-541-0920",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patriot Healthcare Family ad Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shawn Peter Parmanand, LCPC
• Willis Parmley, MD
• David E Parry, M.D.
• Cindy Elizabeth Parsons, M.D.
• Pathway Counseling
• Cody E Patterson, DO
• Hannah Joelynn Patterson
• Madison Paulsen, LPC
• Brandon Charles Payne, ATC
• PCS Endoscopy Suite

• Clinic/Center in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.