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211 16th Ave N Nampa ID 83687-4058 | |
| (208) 467-4431 | |
| (208) 466-5359 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 211 16th Ave N, Nampa, Idaho |
| Authorized Official Name and Position | Donald Curtis (DIRECTOR OF REVENUE) |
| Authorized Official Contact | 2083239613 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 9 Nampa ID 83653-0009 Ph: (208) 461-7149 | 211 16th Ave N Nampa ID 83687-4058 Ph: (208) 467-4431 |
| NPI Number | 1477560654 |
|---|---|
| Provider Enumeration Date | 08/01/2006 |
| Last Update Date | 02/07/2024 |
| Certification Date | 02/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477560654 | NPI | - | NPPES |
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