Portneuf Valley Family Center | |
725 Jensen Grove Dr Suite 5 Blackfoot ID 83221-1636 | |
(208) 233-7832 | |
Not Available |
Full Name | Portneuf Valley Family Center |
---|---|
Speciality | Counselor |
Location | 725 Jensen Grove Dr, Blackfoot, Idaho |
Authorized Official Name and Position | Joe Arzola (OWNER) |
Authorized Official Contact | 2082337832 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Portneuf Valley Family Center Po Box 4908 Pocatello ID 83205-4908 Ph: (208) 233-7832 | Portneuf Valley Family Center 725 Jensen Grove Dr Suite 5 Blackfoot ID 83221-1636 Ph: (208) 233-7832 |
NPI Number | 1518170968 |
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Provider Enumeration Date | 05/08/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518170968 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
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