| Pioneer Health Resources | |
|
5583 N Glenwood St Garden City ID 83714-1336 | |
| (208) 287-2564 | |
| (208) 287-2570 |
| Full Name | Pioneer Health Resources |
|---|---|
| Speciality | Social Worker |
| Location | 5583 N Glenwood St, Garden City, Idaho |
| Authorized Official Name and Position | Don Gross (OWNER) |
| Authorized Official Contact | 2082872564 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pioneer Health Resources 5583 N Glenwood St Garden City ID 83714-1336 Ph: (208) 287-2564 | Pioneer Health Resources 5583 N Glenwood St Garden City ID 83714-1336 Ph: (208) 287-2564 |
| NPI Number | 1396163275 |
|---|---|
| Provider Enumeration Date | 03/28/2014 |
| Last Update Date | 03/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396163275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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