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Active Family Healthcare Pllc

Family Medicine Physician in Coeur D Alene, ID · enumerated 2012 · authorized official Jennifer Fletcher, Owner Nurse Practioner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063764462

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Registry record

Entity type Organization (Type 2)
Legal business name Active Family Healthcare Pllc
Practice address 919 W Canfield Ave, Coeur D Alene, ID, 83815
Phone (208) 758-0560
Fax (208) 762-5424
Enumeration date Oct 9, 2012
Last updated in NPPES Mar 3, 2025

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Jennifer Fletcher
Title Owner Nurse Practioner
Phone (208) 758-0560

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Active Family Healthcare Pllc?
The NPI for Active Family Healthcare Pllc is 1063764462, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Active Family Healthcare Pllc?
NPPES lists Jennifer Fletcher (Owner Nurse Practioner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-03-03.