Provider Demographics
NPI:1770308074
Name:CHANDLER HEALTH P.C.
Entity type:Organization
Organization Name:CHANDLER HEALTH P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANDLER
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, AGNP-C
Authorized Official - Phone:208-781-1728
Mailing Address - Street 1:325 N IOWA AVE
Mailing Address - Street 2:
Mailing Address - City:PAYETTE
Mailing Address - State:ID
Mailing Address - Zip Code:83661-5373
Mailing Address - Country:US
Mailing Address - Phone:208-781-1728
Mailing Address - Fax:
Practice Address - Street 1:932 W IDAHO AVE STE 100
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:OR
Practice Address - Zip Code:97914-2155
Practice Address - Country:US
Practice Address - Phone:208-781-1728
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty