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PROACTIVE WOUND CARE ID INC.
NPI 1134928419
Podiatrist in Fish Haven, ID

Active since March 10, 2025
2270 HIGHWAY 89, FISH HAVEN, ID 83287(801) 815-6862 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Proactive Wound Care Id Inc. NPPES

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

PROACTIVE WOUND CARE ID INC. (NPI 1134928419) is a healthcare organization registered as a podiatrist in Fish Haven, Idaho and active in the NPI registry since March 2025. The organization lists Hayley Williams, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1134928419
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NamePROACTIVE WOUND CARE ID INC.
Location Address2270 HIGHWAY 89Fish Haven, ID 83287-5139
Mailing AddressPo Box 607Centerville, UT 84014-0607 · (801) 815-6862
Phone(801) 815-6862
Organization SubpartNo
Authorized OfficialHayley WilliamsOffice Manager · (801) 815-6862
Enumeration DateMarch 10, 2025
NPPES CertifiedMarch 10, 2025
✔ NPI 1134928419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Also ListedNurse PractitionerTaxonomy 363L00000X
2270 HIGHWAY 89, Fish Haven, ID 83287
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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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Proactive Wound Care Id Inc.'s NPI number?

The NPI number for Proactive Wound Care Id Inc. is 1134928419. It was assigned to this organization in the NPPES registry on March 10, 2025.

Where is Proactive Wound Care Id Inc. located?

Proactive Wound Care Id Inc. is located at 2270 Highway 89, Fish Haven, ID 83287. The listed phone number is (801) 815-6862.

What is Proactive Wound Care Id Inc.'s specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Proactive Wound Care Id Inc. was last updated on March 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.