Family & Functional Medicine of Idaho PLLC
NPI 1114352242ActiveOrganization· Family Medicine· Eagle, ID
Family Medicine in Eagle, Idaho, registered in NPPES in September 2013. The authorized official on file is Angela L. House, DO, Physician / Owner.
Overview
| NPI | 1114352242 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 9, 2013 |
| Last updated in NPPES | Sep 9, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 0-O370 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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