Organization
NORTH IDAHO FAMILY PRACTICE LLC
Active
Organization
NORTH IDAHO FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS WADE BOZARTH PA-C (OWNER)
(208) 770-8848
Entity
Organization
Contact information
Practice address
1101 E POLSTON AVE STE B, POST FALLS, ID 83854-6045
(208) 770-8848
Mailing address
1101 E POLSTON AVE STE B, POST FALLS, ID 83854-6045
(208) 747-1776
(208) 747-1777
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
01/31/2025
Last updated
03/10/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up