Healthcare Provider Details

I. General information

NPI: 1114507928
Provider Name (Legal Business Name): CINCH HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2021
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6190 N SUNSHINE ST STE E
COEUR D ALENE ID
83815-8697
US

IV. Provider business mailing address

6190 N SUNSHINE ST STE E
COEUR D ALENE ID
83815-8697
US

V. Phone/Fax

Practice location:
  • Phone: 208-691-4569
  • Fax:
Mailing address:
  • Phone: 208-719-0301
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: TERI ROUSE
Title or Position: AGENT
Credential: ARNP
Phone: 208-691-4569