# PETRIE FAMILY ENTERPRISES, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** White Cloud Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396290953
- **Authorized official:** JOSEPH PETRIE PAC (OWNER)
- **Authorized official phone:** (208) 833-1313

## Contact information

- **Practice address:** 431 E. MAIN ST., \#994, CHALLIS, ID 83226
- **Practice address phone:** (208) 833-1313
- **Practice address fax:** (833) 839-1195
- **Mailing address:** 431 E. MAIN ST., \#994, CHALLIS, ID 83226
- **Mailing address phone:** (208) 833-1313
- **Mailing address fax:** (833) 839-1195

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/23/2016
- **Last updated:** 06/26/2024