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Patriot Healthcare, LLC

NPI 1376083568ActiveOrganization· Clinic/Center· Pocatello, ID

Clinic/Center in Pocatello, Idaho, registered in NPPES in March 2017. The authorized official on file is Kenneth Ray Lowther, FNP-C, Medical Director/Ceo.

Overview

NPI1376083568
StatusActive
Entity typeOrganization
NPI issuedMar 7, 2017
Last updated in NPPESMar 7, 2017

Specialties and licenses

TaxonomyCodeLicenseState
Clinic/Center Primary261Q00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Clinic/Center providers in Pocatello

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