Organization Active NPI

The Health Clinic at Eagle

  • Family Medicine Physician
  • Eagle, ID
National Provider Identifier
1932018611
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THE HEALTH CLINIC AT EAGLE
Practice address
839 E Winding Creek Dr Ste 200
Eagle, ID 83616-7236
Phone
(208) 379-3709
Fax
(208) 379-3614
NPI assigned
Sep 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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

Authorized official

Name
Dr. Trent Matthew Delong, DO
Title
Physician/Managing Member
Phone
(208) 379-3709

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X

Addresses

Primary practice location

839 E Winding Creek Dr Ste 200
Eagle, ID 83616-7236

Mailing address

9201 W State St Ste 114
Boise, ID 83714-2527
Phone (208) 379-3709

NPI Registry JSON

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

{
    "created_epoch": "1788739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788739200000",
    "number": "1932018611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 W STATE ST STE 114",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837142527",
            "telephone_number": "208-379-3709",
            "fax_number": "208-379-3614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 E WINDING CREEK DR STE 200",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836167236",
            "telephone_number": "208-379-3709",
            "fax_number": "208-379-3614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALTH CLINIC AT EAGLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-07",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A",
        "authorized_official_last_name": "DELONG",
        "authorized_official_first_name": "TRENT",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PHYSICIAN/MANAGING MEMBER",
        "authorized_official_telephone_number": "208-379-3709",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.