Family Health Services | |
218 W Nez Perce Jerome ID 83338-5077 | |
(208) 324-3471 | |
(208) 324-9191 |
Full Name | Family Health Services |
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Speciality | Clinic/Center |
Location | 218 W Nez Perce, Jerome, Idaho |
Authorized Official Name and Position | Aaron Houston (CIO) |
Authorized Official Contact | 2087343312 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Family Health Services 794 Eastland Dr Twin Falls ID 83301-6856 Ph: (208) 734-3312 | Family Health Services 218 W Nez Perce Jerome ID 83338-5077 Ph: (208) 324-3471 |
NPI Number | 1730135310 |
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Provider Enumeration Date | 05/25/2006 |
Last Update Date | 04/12/2021 |
Certification Date | 04/12/2021 |
Medicare PECOS PAC ID | 7012815038 |
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Medicare Enrollment ID | O20031229000472 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730135310 | NPI | - | NPPES |
002547005 | Medicaid | ID |
Provider Name | Erik M Long |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609834621 PECOS PAC ID: 2466426085 Enrollment ID: I20040820000325 |
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