Provider Demographics
NPI:1134899719
Name:ALPOWA HEALTHCARE, INC.
Entity type:Organization
Organization Name:ALPOWA HEALTHCARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:L
Authorized Official - Last Name:TUELLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-207-2726
Mailing Address - Street 1:504 MAIN ST STE 422
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ID
Mailing Address - Zip Code:83501-1869
Mailing Address - Country:US
Mailing Address - Phone:509-758-2568
Mailing Address - Fax:509-758-3413
Practice Address - Street 1:504 MAIN ST STE 422
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ID
Practice Address - Zip Code:83501-1869
Practice Address - Country:US
Practice Address - Phone:509-758-2568
Practice Address - Fax:509-758-3413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-15
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty