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Petrie White Family Medicine of Idaho

Family Medicine Physician in Emmett, ID · enumerated 2015 · authorized official Ryan White, Clinic Administrator.

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

National Provider Identifier

1447629555

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Registry record

Entity type Organization (Type 2)
Legal business name Petrie White Family Medicine of Idaho
Other name <Unavail>
Practice address 2001 E Quail Run Rd, Emmett, ID, 83617
Fax (208) 365-4464
Enumeration date Sep 18, 2015
Last updated in NPPES Jan 12, 2016

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License M7802 (ID) Primary

Authorized official

Name Ryan White
Title Clinic Administrator

Other identifiers

Identifier Type State Issuer
805196400 Medicaid ID -

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

Who is the authorized official for Petrie White Family Medicine of Idaho?
NPPES lists Ryan White (Clinic Administrator) as the authorized official for this organization.
What is the NPI number for Petrie White Family Medicine of Idaho?
The NPI for Petrie White Family Medicine of Idaho is 1447629555, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-01-12.