Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Active Family Healthcare PLLC

Organization Family Medicine Physician · NPI 1063764462

Active Family Healthcare PLLC is a Family Medicine Physician in Coeur D Alene, Idaho. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

919 W Canfield Ave
Coeur D Alene, ID 83815-9764
Phone: (208) 758-0560
Fax: (208) 762-5424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1063764462
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Fletcher — Owner Nurse Practioner · (208) 758-0560
NPI enumeratedOctober 9, 2012
Last updated in NPPESMarch 3, 2025
Certification dateMarch 3, 2025
Mailing address919 W Canfield Ave, Coeur D Alene, ID 83815-9764

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