SUMMIT HEALTH & WELLNESS LLC – NPI #1710877071
Clinic/Center

SUMMIT HEALTH & WELLNESS LLC is an AHC clinic located in HAYDEN, ID. NPPES has assigned the NPI number 1710877071 to SUMMIT HEALTH & WELLNESS LLC on July 08, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was last updated on Apr 29, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SUMMIT HEALTH & WELLNESS LLC below.

NPI Profile for
SUMMIT HEALTH & WELLNESS LLC

NPI Number
1710877071
Enumeration Date

(about a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SUMMIT HEALTH & WELLNESS LLC
Primary location
8152 N. WAYNE DR.
HAYDEN, ID 83835
Phone: (208) 417-7741 Fax:
Mailing address
1940 E GUNTHER AVE
COEUR D ALENE, ID 83815-9435
Phone: Fax:
Organization Subpart
No
Authorized Official
KYLE SEVERINSEN
ONWER
Phone: (801) 205-9647
Updated
Certification Date
Apr 29, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)
207R00000X
- Internal Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.