HEALTHCARE WITH HEART LLC - NPI 1053521344 - Family Medicine in Payette, ID

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

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About Healthcare With Heart Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALTHCARE WITH HEART LLC (NPI 1053521344) is a healthcare organization registered as a family medicine in Payette, Idaho and active in the NPI registry since May 2007. The organization holds a CLIA Microscopy certificate valid through September 14, 2026 and lists Ronald Eugene Carroll, Owner, as its authorized official.

NPPES Registry Identity

NPI1053521344

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameHEALTHCARE WITH HEART LLC

Location Address823 CENTER AVEPayette, ID 83661-2535

Mailing Address823 Center AvePayette, ID 83661-2535 · (208) 642-3396 · Fax (208) 642-9060

Phone(208) 642-3396

Fax(208) 642-9060

Organization SubpartNo

Authorized OfficialRonald Eugene CarrollOwner · (208) 989-0070

Enumeration DateMay 23, 2007

Last NPPES UpdateJune 14, 2022

NPPES CertifiedJune 14, 2022

✔ NPI 1053521344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ID · M4116

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License N19189 (ID)

823 CENTER AVE, Payette, ID 83661

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Other Identifiers 11

OtherR108734Noridian

OtherD80174720Medicare-railroad

OtherNPPU5Blue Cross-lp

Other8K818Blue Cross-group

Medicaid278542OR

Other000010147752Regence-lp

Other000010005775Regence-rec

Medicaid231902OR

Medicaid0036365ID

Other73437Blue Cross-rec

Medicaid806957500ID

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 13D1058756

Health Care With Heart LLC · Payette, ID

Active · expires Sep 14, 2026

CLIA Number13D1058756

Laboratory TypePhysician Office

Certificate Effective DateSeptember 15, 2024

Certificate Expiration DateSeptember 14, 2026

Laboratory DirectorRonald E. Carroll

Laboratory Phone(209) 642-3396

Laboratory LocationHealth Care With Heart LLC823 Center Ave, Payette, ID 83661

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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