| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1346421021 | BLACKWELDER | TYLER | J | PO BOX 2834 | HAYDEN | ID | 838352834 | |
| 1447678933 | COOPER-SCOTT | HALEY | 8382 N WAYNE DR | HAYDEN | ID | 838356028 | ||
| 1669812301 | FOSS | CALEB | JEROME | 8382 N WAYNE DR STE 100 | HAYDEN | ID | 838356028 |