NPI age
3 years
Enumerated 2022-09-01
● Active Type 2 · Organization
Rurban Pllc
Rurban Pllc is 1 of 326 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Peterson
Founder/ Ceo
Last NPPES update
2022-12-22
Source: monthly bulk 2026-05
How this organization compares
Across 326 active clinic/center providers in Idaho.
NPI age
3 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 19% of peers with subspecialties
NPI lifetime · 2022 → 2026
2022-09Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
605 S Olive Ave
Sandpoint, ID 838641154
Mailing address
605 S Olive Ave
Sandpoint, ID 838641154
Authorized official
Rio Petersono Peterson, PMHNP
Founder/ Ceo
📞 2086868060
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Clinic/CenterDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Rurban Health
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 →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.