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Carmine Petracca

Health Service Clinic/Center in Lewiston, ID · enumerated 2013 · authorized official Carmine Petracca, Owner.

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

National Provider Identifier

1649601006

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Registry record

Entity type Organization (Type 2)
Legal business name Carmine Petracca
Other name <Unavail>
Practice address 939 Bryden Ave, Lewiston, ID, 83501
Phone (208) 743-1761
Fax (208) 746-8042
Enumeration date Dec 10, 2013
Last updated in NPPES Dec 10, 2013

Taxonomy & classification

261QH0100X Health Service Clinic/Center Ambulatory Health Care Facilities · License ODP-634 (ID) Primary

Authorized official

Name Carmine Petracca
Title Owner
Phone (208) 743-1761

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 Carmine Petracca?
The NPI for Carmine Petracca is 1649601006, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Carmine Petracca?
NPPES lists Carmine Petracca (Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-12-10.