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

Hni Medical Services of Idaho, LLC

Organization Emergency Medicine Physician · NPI 1063928638

Hni Medical Services of Idaho, LLC is an Emergency Medicine Physician in Lewiston, Idaho. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
6
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

415 6th St
Lewiston, ID 83501-2431
Phone: (512) 730-3056
Fax: (888) 730-1925
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Hospitalist Physician Taxonomy 208M00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1063928638
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Carletti — Vp Of Operations · (330) 727-3530
NPI enumeratedDecember 19, 2017
Last updated in NPPESAugust 24, 2023
Certification dateAugust 24, 2023
Mailing address7500 Rialto Blvd Ste 1-140, Austin, TX 78735-8534

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