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SUMMIT MEDICAL PROVIDERS LLC
NPI 1164397410
General Practice in Eagle, ID

Active since October 07, 2025
2205 E RIVERSIDE DR, EAGLE, ID 83616(801) 867-9760(801) 880-4400 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Summit Medical Providers Llc NPPES

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

SUMMIT MEDICAL PROVIDERS LLC (NPI 1164397410) is a healthcare organization registered as a general practice in Eagle, Idaho and active in the NPI registry since October 2025. The organization lists Rachel Fletcher, Owner, as its authorized official.

NPPES Registry Identity

NPI1164397410
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSUMMIT MEDICAL PROVIDERS LLC
Location Address2205 E RIVERSIDE DREagle, ID 83616-7620
Mailing Address2205 E Riverside DrEagle, ID 83616-7620 · (801) 867-9760 · Fax (801) 880-4400
Phone(801) 867-9760
Fax(801) 880-4400
Organization SubpartNo
Authorized OfficialRachel FletcherOwner · (801) 867-9760
Enumeration DateOctober 7, 2025
NPPES CertifiedOctober 7, 2025
✔ NPI 1164397410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2205 E RIVERSIDE DR, Eagle, ID 83616
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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 Summit Medical Providers LLC's NPI number?

The NPI number for Summit Medical Providers LLC is 1164397410. It was assigned to this organization in the NPPES registry on October 7, 2025.

Where is Summit Medical Providers LLC located?

Summit Medical Providers LLC is located at 2205 E Riverside Dr, Eagle, ID 83616. The listed phone number is (801) 867-9760.

What is Summit Medical Providers LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Summit Medical Providers LLC was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.