CLARK FORK HEALTHCARE, LLC
NPI 1457092058
Home Health in Eagle, ID

Q: What is Clark Fork Healthcare, LLC's NPI number?

The NPI number for Clark Fork Healthcare, LLC is 1457092058. It was assigned to this organization in the NPPES registry on April 6, 2022.

Q: What is Clark Fork Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Active since April 06, 2022

1675 E RIVERSIDE DR STE 200, EAGLE, ID 83616(208) 401-1400 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Clark Fork Healthcare, Llc NPPES

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

CLARK FORK HEALTHCARE, LLC (NPI 1457092058) is a healthcare organization registered as a home health in Eagle, Idaho and active in the NPI registry since April 2022. The organization lists Lee Johnson, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1457092058

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameCLARK FORK HEALTHCARE, LLC

Location Address1675 E RIVERSIDE DR STE 200Eagle, ID 83616-7473

Mailing Address1675 E Riverside Dr Ste 200Eagle, ID 83616-7473 · (208) 401-1400

Phone(208) 401-1400

Organization SubpartNo

Authorized OfficialLee JohnsonTreasurer · (208) 401-1369

Enumeration DateApril 6, 2022

NPPES CertifiedMarch 24, 2022

✔ NPI 1457092058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

1675 E RIVERSIDE DR STE 200, Eagle, ID 83616

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Other Providers at the Same Location NPPES 12

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

BUFFALO SPRINGS HEALTHCARE LLC

Home Health