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Clark Fork Healthcare, LLC

Clark Fork Healthcare, LLC is a healthcare organization registered as Home Health Agency in Eagle, ID, holding Type 2 (organization) NPI 1457092058 since 2022. The authorized official on file is Lee Johnson, Treasurer.

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NPI 1457092058
Entity type Organization (Type 2)
Legal business name Clark Fork Healthcare, LLC
Practice address 1675 E RIVERSIDE DR STE 200, Eagle, ID, 83616
Phone 2084011400
Enumeration date 2022-04-06
Last updated in NPPES 2022-04-06

Authorized official

Name Lee Johnson
Title Treasurer
Phone 2084011369

Taxonomy & classification

Taxonomy code Specialty Primary License State
251E00000X Home Health Agency Primary
Copy-ready billing details
Provider: Clark Fork Healthcare, LLC
NPI: 1457092058
Taxonomy: 251E00000X (Home Health Agency)
Address: 1675 E RIVERSIDE DR STE 200, Eagle, ID, 83616

Providers at this address

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1609327022 Finding Home Healthcare, Inc. Organization Multi-Specialty Clinic/Center Eagle, ID
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1962193656 Eagle Healthcare LLC Organization In Home Supportive Care Agency Eagle, ID
1033971239 Buffalo Springs Healthcare LLC Organization Home Health Agency Eagle, ID
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1982580452 Power Basin Therapy LLC Organization Physical Therapist Eagle, ID

Verify this record

Cross-check NPI 1457092058 against the authoritative CMS record: view Clark Fork Healthcare, LLC on the official NPPES registry .

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. Read the full guide or validate an NPI number.

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Clark Fork Healthcare, LLC?
Clark Fork Healthcare, LLC is registered in NPPES as a Home Health Agency (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-04-06.