# THE HEALTH CLINIC AT EAGLE

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

## Provider details

- **NPI number:** 1932018611
- **Authorized official:** DR. TRENT MATTHEW DELONG DO (PHYSICIAN/MANAGING MEMBER)
- **Authorized official phone:** (208) 379-3709

## Contact information

- **Practice address:** 839 E WINDING CREEK DR STE 200, EAGLE, ID 83616-7236
- **Practice address phone:** (208) 379-3709
- **Practice address fax:** (208) 379-3614
- **Mailing address:** 9201 W STATE ST STE 114, BOISE, ID 83714-2527
- **Mailing address phone:** (208) 379-3709
- **Mailing address fax:** (208) 379-3614

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 09/07/2026
- **Last updated:** 09/07/2026