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TIMBERLAKE FAMILY MEDICINE
NPI 1932392933
Clinic/Center - Primary Care in Athol, ID

Active since August 22, 2007
6101 E HIGHWAY 54 STE A, ATHOL, ID 83801(208) 683-0800(208) 683-0900 Get Directions Write a Review

NPPES record last updated: August 22, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Timberlake Family Medicine NPPES

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

TIMBERLAKE FAMILY MEDICINE (NPI 1932392933) is a healthcare organization registered as a primary care in Athol, Idaho and active in the NPI registry since August 2007. The organization lists Christopher Ray Sundquist, Owner, as its authorized official.

NPPES Registry Identity

NPI1932392933
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameTIMBERLAKE FAMILY MEDICINE
Location Address6101 E HIGHWAY 54 STE AAthol, ID 83801-8255
Mailing AddressPo Box 775Athol, ID 83801-0775 · (208) 683-0800 · Fax (208) 683-0900
Phone(208) 683-0800
Fax(208) 683-0900
Organization SubpartNo
Authorized OfficialChristopher Ray SundquistOwner · (208) 683-0800
Enumeration DateAugust 22, 2007
✔ NPI 1932392933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in ID · PA303
6101 E HIGHWAY 54 STE A, Athol, ID 83801
Open in Google Maps ↗

Other Identifiers 4

OtherPAD92Blue Cross
Medicare UPINP23313
Other000010158675Regence
Medicare PIN1665145

Other Providers at the Same Location NPPES 2

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

SARAH DESIMONE MS, CCC-SLP
Speech-Language Pathologist
6101 E HIGHWAY 54 STE A
ATHOL, ID 83801
Kootenai County (208) 994-3757
COUNTRY CLINICAL MASSAGE
Massage Therapist
6101 E HIGHWAY 54 STE A
ATHOL, ID 83801
Kootenai County (208) 755-6301

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 Timberlake Family Medicine's NPI number?

The NPI number for Timberlake Family Medicine is 1932392933. It was assigned to this organization in the NPPES registry on August 22, 2007.

Where is Timberlake Family Medicine located?

Timberlake Family Medicine is located at 6101 E Highway 54 Ste A, Athol, ID 83801. The listed phone number is (208) 683-0800.

What is Timberlake Family Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Timberlake Family Medicine was last updated on August 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.