# CLINIC AT EAGLE LLC

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

## Provider details

- **NPI number:** 1306807441
- **Authorized official:** KATHE ALKIRE CRNP (OWNER)
- **Authorized official phone:** (208) 939-2273

## Contact information

- **Practice address:** 600 E STATE ST, SUITE 200, EAGLE, ID 83616-6081
- **Practice address phone:** (208) 939-2237
- **Practice address fax:** (208) 939-5888
- **Mailing address:** PO BOX 9589, BOISE, ID 83707-4589
- **Mailing address phone:** (208) 472-8112
- **Mailing address fax:** (208) 472-8172

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/29/2006
- **Last updated:** 07/27/2010