LEGACY PRIMARY CARE, LLC
NPI 1568289247
Clinic/Center - Primary Care in Meridian, ID
About Legacy Primary Care, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEGACY PRIMARY CARE, LLC (NPI 1568289247) is a healthcare organization registered as a primary care in Meridian, Idaho and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through July 14, 2027 and lists Cheryl Fish, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 of Waiver 13D2327038
Legacy Primary Care · Meridian, IDOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Legacy Primary Care, LLC's NPI number?
The NPI number for Legacy Primary Care, LLC is 1568289247. It was assigned to this organization in the NPPES registry on September 24, 2024.
Where is Legacy Primary Care, LLC located?
Legacy Primary Care, LLC is located at 2667 E Gala Ct Ste 100, Meridian, ID 83642. The listed phone number is (208) 570-2707.
What is Legacy Primary Care, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Legacy Primary Care, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 13D2327038) is associated with this NPI, valid through July 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Legacy Primary Care, LLC was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
