NPI age
3 years
Enumerated 2022-11-01
● Active Type 2 · Organization
Core Medicine Idaho, Llc
Core Medicine Idaho, Llc is 1 of 104 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Rath
Mananger
Last NPPES update
2024-01-16
Source: monthly bulk 2026-05
How this organization compares
Across 104 active clinic/center providers in Idaho.
NPI age
3 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 10% of peers with subspecialties
NPI lifetime · 2022 → 2026
2022-11Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
4605 Enterprise Way, Ste 101
Caldwell, ID 836058360
Mailing address
2667 E Gala Ct Ste 130
Meridian, ID 836422788
Authorized official
Sophie Rath
Mananger
📞 2087955090
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Clinic/CenterDefinition to come...
-
Durable Medical Equipment & Medical SuppliesA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1295734796 |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Core Medicine of Idaho
-
Core Medicine of Idaho
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.