Integrated Family & Community Services | |
3355 S Holmes Ave Idaho Falls ID 83404-7981 | |
(208) 523-2080 | |
(208) 523-2799 |
Full Name | Integrated Family & Community Services |
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Speciality | Nurse Practitioner - Family |
Location | 3355 S Holmes Ave, Idaho Falls, Idaho |
Authorized Official Name and Position | Lisa Bell (OWNER) |
Authorized Official Contact | 2085232080 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Integrated Family & Community Services 3355 S Holmes Ave Idaho Falls ID 83404-7981 Ph: (208) 523-2080 | Integrated Family & Community Services 3355 S Holmes Ave Idaho Falls ID 83404-7981 Ph: (208) 523-2080 |
NPI Number | 1013331545 |
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Provider Enumeration Date | 02/04/2014 |
Last Update Date | 02/04/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013331545 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-1103 (Idaho) | Secondary |
363LF0000X | Nurse Practitioner - Family | NP-1180A (Idaho) | Primary |
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