NPI age
18 years
Enumerated 2007-08-22
● Active Type 2 · Organization
Timberlake Family Medicine
Timberlake Family Medicine 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
Sundquist
Owner
Last NPPES update
2007-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 104 active clinic/center providers in Idaho.
NPI age
18 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-08Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
6101 E Highway 54 Ste A
Athol, ID 838018255
Mailing address
Po Box 775
Athol, ID 838010775
Authorized official
Christopher Ray Sundquist, PA-C
Owner
📞 2086830800
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Sarah Desimone, MS, CCC-SLP Speech-Language Pathologist NPI 1265881601
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | PAD92 | BLUE CROSS |
| 01 | 000010158675 | REGENCE |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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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.