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

Clark Fork Healthcare, LLC

Organization Home Health Agency · NPI 1457092058

Clark Fork Healthcare, LLC is a Home Health Agency in Eagle, Idaho. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1675 E Riverside Dr Ste 200
Eagle, ID 83616-7473
Phone: (208) 401-1400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X

Record details

NPI number1457092058
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lee Johnson — Treasurer · (208) 401-1369
NPI enumeratedApril 6, 2022
Last updated in NPPESApril 6, 2022
Certification dateMarch 24, 2022
Mailing address1675 E Riverside Dr Ste 200, Eagle, ID 83616-7473

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