Sam Primozich
Case Manager/Care Coordinator in Moscow, ID. Individual provider (NPI-1).
NPI number1972452209
StatusActive
Last updated in NPPESJan 28, 2026
Details
- NPI
- 1972452209
- Entity type
- Individual (NPI-1)
- Name
- Sam Primozich
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 28, 2026
- Certification date
- Jan 28, 2026
- Last updated
- Jan 28, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
317 W 6th St Ste 208Moscow, ID 83843-2387
Phone 208-882-3504 · Fax 877-935-2107
Mailing address
317 W 6th St Ste 208Moscow, ID 83843-2387
Phone 208-882-3504 · Fax 877-935-2107
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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