Provider Demographics
NPI:1114507928
Name:CINCH HEALTH PLLC
Entity Type:Organization
Organization Name:CINCH HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENT
Authorized Official - Prefix:
Authorized Official - First Name:TERI
Authorized Official - Middle Name:
Authorized Official - Last Name:ROUSE
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:208-691-4569
Mailing Address - Street 1:10691 W PRAIRIE AVE
Mailing Address - Street 2:
Mailing Address - City:POST FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83854-5214
Mailing Address - Country:US
Mailing Address - Phone:208-691-4569
Mailing Address - Fax:
Practice Address - Street 1:6190 N SUNSHINE ST STE E
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83815-8697
Practice Address - Country:US
Practice Address - Phone:208-691-4569
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-14
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain