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INNERHEALTH MD PC
NPI 1265895775
Family Medicine in Ketchum, ID

Active since April 01, 2016CLIA 13D2110315 · Microscopy
180 WEST 1ST STREET, SUITE 206, KETCHUM, ID 83340(541) 482-2821 Get Directions Write a Review

NPPES record last updated: April 1, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Innerhealth Md Pc NPPES

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

INNERHEALTH MD PC (NPI 1265895775) is a healthcare organization registered as a family medicine in Ketchum, Idaho and active in the NPI registry since April 2016. The organization holds a CLIA Microscopy certificate valid through April 14, 2028 and lists Thomas Archie, Owner, as its authorized official.

NPPES Registry Identity

NPI1265895775
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameINNERHEALTH MD PC
Location Address180 WEST 1ST STREET, SUITE 206Ketchum, ID 83340
Mailing Address180 West 1st Street, Suite 206Ketchum, ID 83340
Phone(541) 482-2821
Organization SubpartNo
Authorized OfficialThomas ArchieOwner · (541) 482-2821
Enumeration DateApril 1, 2016
✔ NPI 1265895775 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 · M10114
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 ListedAcupuncturistTaxonomy 171100000X · License M10114 (ID)
180 WEST 1ST STREET, Ketchum, ID 83340
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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

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) 13D2110315

Inner Health MD · Ketchum, ID
Active · expires Apr 14, 2028
CLIA Number13D2110315
Laboratory TypePhysician Office
Certificate Effective DateApril 15, 2026
Certificate Expiration DateApril 14, 2028
Laboratory DirectorThomas E. Archie
Laboratory Phone(208) 578-4550
Laboratory LocationInner Health MD180 W 1st St Ste 206, Ketchum, ID 83340
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.

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 Innerhealth MD PC's NPI number?

The NPI number for Innerhealth MD PC is 1265895775. It was assigned to this organization in the NPPES registry on April 1, 2016.

Where is Innerhealth MD PC located?

Innerhealth MD PC is located at 180 West 1st Street Suite 206, Ketchum, ID 83340. The listed phone number is (541) 482-2821.

What is Innerhealth MD PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Innerhealth MD PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 13D2110315) is associated with this NPI, valid through April 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Innerhealth MD PC was last updated on April 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.