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

Miles Alan Haeberle, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1710496997

Miles Alan Haeberle, PHYSICIANASSISTANT is a Physician Assistant in Challis, Idaho. Qualified in 2017, 9 years ago. Practices with Challis Area Health Center Incorporated, an 8-clinician group and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2017

Practice location Address checks out

611 Clinic Rd
Challis, ID 83226-4824
Phone: (208) 879-4351
Fax: (208) 879-5216
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1710496997
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedSeptember 20, 2017
Last updated in NPPESJune 1, 2020
Certification dateJune 1, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Challis Area Health Center Incorporated — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Challis