# DISPATCH HEALTH IDAHO PC

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

## Provider details

- **NPI number:** 1801559265
- **Authorized official:** WILLIAM KRAMER (CHIEF LEGAL OFFICER)
- **Authorized official phone:** (215) 813-5940

## Contact information

- **Practice address:** 9100 MARKSFIELD RD, LOUISVILLE, KY 40222-5299
- **Practice address phone:** (208) 268-8024
- **Mailing address:** 3827 N LAFAYETTE ST, DENVER, CO 80205-3339

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/21/2021
- **Last updated:** 07/07/2025