NPI

Western Skies Wellness and Primary Care, PC

NPI 1568255636

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2025-05-22
Last updated
2026-08-07

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Specialties

Licenses

The registry row did not include a license.

Location

Practice location
110 Illinois Ave
City
Council ID
Postal code
83612
Phone
(208) 849-3725

Organization contact

Name
Jodi Haney
Title
Credentialing/Contracting
Phone
(541) 410-5394

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Council, ID. 35 records in the public file.

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