NPI age
1 years
Enumerated 2024-09-24
● Active Type 2 · Organization
Legacy Primary Care, Llc
Legacy Primary Care, Llc is 1 of 104 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fish
Owner
Last NPPES update
2024-10-16
Source: monthly bulk 2026-05
How this organization compares
Across 104 active clinic/center providers in Idaho.
NPI age
1 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2024 → 2026
2024-09Enumerated in NPPES
2024
2026
Where they practice
Primary practice location
2667 E Gala Ct Ste 100
Meridian, ID 836422792
Mailing address
2273 E Gala St Ste 120
Meridian, ID 836427289
Authorized official
Cheryl Fish
Owner
📞 2085702707
Specialties
-
Clinic/Center PrimaryDefinition to come...
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.