TAMARACK MEDICAL & DENTAL CLINIC
NPI 1255621835
General Practice in Tamarack, ID

Active since April 15, 2011
311 VILLAGE DR, TAMARACK, ID 83615(208) 724-7420 Get Directions Write a Review

NPPES record last updated: April 15, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tamarack Medical & Dental Clinic NPPES

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

TAMARACK MEDICAL & DENTAL CLINIC (NPI 1255621835) is a healthcare organization registered as a general practice in Tamarack, Idaho and active in the NPI registry since April 2011. The organization lists Rourke Yeakley, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1255621835
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameTAMARACK EAGLE MEDICAL
Location Address311 VILLAGE DRTamarack, ID 83615-5014
Mailing Address5701 Willow Creek RdEagle, ID 83616-2025 · (208) 724-7420
Organization SubpartNo
Authorized OfficialRourke YeakleySole Member · (208) 724-7420
Enumeration DateApril 15, 2011
NPI 1255621835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in ID · M8190
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
Also ListedDentistTaxonomy 122300000X
311 VILLAGE DR, Tamarack, ID 83615

Other Names 1

Doing Business AsTamarack Medical & Dental Clinic

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 Tamarack Eagle Medical's NPI number?

The NPI number for Tamarack Eagle Medical is 1255621835. It was assigned to this organization in the NPPES registry on April 15, 2011. The provider is doing business as Tamarack Medical & Dental Clinic.

Where is Tamarack Eagle Medical located?

Tamarack Eagle Medical is located at 311 Village Dr, Tamarack, ID 83615. The listed phone number is (208) 724-7420.

What is Tamarack Eagle Medical'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 Tamarack Eagle Medical was last updated on April 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.