NORTH IDAHO FAMILY PRACTICE LLC
NPI 1780497859
Physician Assistant - Medical in Post Falls, ID

NPI Status: Active since January 31, 2025

Contact Information

1101 E POLSTON AVE STE B
POST FALLS, ID
ZIP 83854
Phone: (208) 770-8848

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  • Organization
  • Physician Assistant
  • Medical
  • CLIA Number: 13D2318544
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 02-11-2027

About NORTH IDAHO FAMILY PRACTICE LLC

This page provides the complete NPI Profile along with additional information for North Idaho Family Practice Llc, a primary care provider established in Post Falls, Idaho operating as a Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1780497859 assigned on January 2025. The practitioner's primary taxonomy code is 363AM0700X. The provider is registered as an organization and their NPI record was last updated March 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Nicholas Wade Bozarth Pa-c (Owner)

NPI
1780497859
Provider Name
NORTH IDAHO FAMILY PRACTICE LLC
Entity Type
Organization
Location Address
1101 E POLSTON AVE STE B POST FALLS, ID 83854
Location Phone
(208) 770-8848
Mailing Address
1101 E POLSTON AVE STE B POST FALLS, ID 83854
Mailing Phone
(208) 747-1776
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-31-2025
Last Update Date
03-10-2025
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A primary care provider (PCP) like North Idaho Family Practice Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

NICHOLAS WADE BOZARTH PA-C

Authorized Official Title
OWNER
Authorized Official Phone
(208) 770-8848

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
13D2318544
Facility Type
Practitioner Other
Certificate Effective Date
February 12, 2025
Certificate Expiration Date
February 11, 2027
Laboratory Director
NICHOLAS W. BOZARTH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to North Idaho Family Practice Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1780497859
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271608914810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 6 + 0 + 8 + 9 + 1 + 4 + 8 + 1 + 0 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1780497859 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780497859, enumerated in the NPI registry as an "organization" on January 31, 2025

The provider is located at 1101 E Polston Ave Ste B Post Falls, Id 83854 and the phone number is (208) 770-8848

This medical organization specializes in Physician Assistant with taxonomy code 363AM0700X with a focus in Medical

The provider's CLIA number is 13D2318544 for a "practitioner other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on January 31, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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