Individual provider · Type 1 NPI

Samuel Gebremedhn Etay

Community Health Worker · Meridian, ID

NPI number 1417811498 Active

Practice location

6269 S Aspiration Ave
Meridian, ID 83642-1058

Call (970) 449-3655 Map

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker Primary 172V00000XNONE (ID)

Community Health Worker: Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(…

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About NPI 1417811498

Samuel Gebremedhn Etay's National Provider Identifier is 1417811498, issued on Dec 12, 2025. The primary taxonomy on file is Community Health Worker (172V00000X), and the practice location is in Meridian, ID. The record was last updated on Dec 12, 2025.