WHITE CLOUD WELLNESS – NPI #1396290953
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

WHITE CLOUD WELLNESS is a provider located in CHALLIS, ID. NPPES has assigned the NPI number 1396290953 to WHITE CLOUD WELLNESS on August 23, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WHITE CLOUD WELLNESS” is a dba name, the actual legal business name for this organization is PETRIE FAMILY ENTERPRISES, PC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Jun 26, 2024. 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 WHITE CLOUD WELLNESS below.

NPI Profile for
PETRIE FAMILY ENTERPRISES, PC

NPI Number
1396290953
Enumeration Date

(about 10 years 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
PETRIE FAMILY ENTERPRISES, PC
Doing Business As (dba): WHITE CLOUD WELLNESS
Primary location
431 E. MAIN ST.
#994
CHALLIS, ID 83226
Phone: (208) 833-1313 Fax: (833) 839-1195
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOSEPH PETRIE
OWNER
Phone: (208) 833-1313
Updated
Certification Date
Jun 26, 2024

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
207Q00000X
- Family Medicine (Primary)
261QP2300X
- Clinic/Center / Primary Care

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.