# HEALTHCARE WITH HEART LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053521344
- **Authorized official:** DR. RONALD EUGENE CARROLL M.D. (OWNER)
- **Authorized official phone:** (208) 989-0070

## Contact information

- **Practice address:** 823 CENTER AVE, PAYETTE, ID 83661-2535
- **Practice address phone:** (208) 642-3396
- **Practice address fax:** (208) 642-9060
- **Mailing address:** 823 CENTER AVE, PAYETTE, ID 83661-2535
- **Mailing address phone:** (208) 642-3396
- **Mailing address fax:** (208) 642-9060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | M4116 | ID | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | N19189 | ID | — |

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 06/14/2022