| Lincoln Community Health | |
|
113 South Apple Street Shoshone ID 83352 | |
| (208) 886-2224 | |
| (208) 886-2634 |
| Full Name | Lincoln Community Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 113 South Apple Street, Shoshone, Idaho |
| Authorized Official Name and Position | Keith Davis (CEO/MEDICAL DIRECTOR) |
| Authorized Official Contact | 2088862224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lincoln Community Health 113 S Apple St Shoshone ID 83352-5287 Ph: (208) 886-2224 | Lincoln Community Health 113 South Apple Street Shoshone ID 83352 Ph: (208) 886-2224 |
| NPI Number | 1689814980 |
|---|---|
| Provider Enumeration Date | 02/26/2009 |
| Last Update Date | 02/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689814980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | NA (Idaho) | Primary |
Family Health Services Corporation Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 61 E Highway 24, Shoshone, ID 83352 Phone: 208-886-2381 | |
Family Health Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 651 S Beverly St, Shoshone, ID 83352 Phone: 208-886-2224 Fax: 208-886-2634 |