| |
1157 Call Place, Pocatello, ID 83201 | |
(208) 238-6337 | |
(208) 776-5510 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Ambulatory Surgical |
Location | 1157 Call Place, Pocatello, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992759930 | NPI | - | NPPES |
000010027108 | Other | ID | BLUE SHIELD |
805730900 | Medicaid | ID | |
P00091636 | Other | ID | RAILROAD MEDICARE |
03913 | Other | ID | BLUE CROSS |
807288200 | Medicaid | ID |
Mailing Address | Practice Location Address |
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Po Box 2067, Pocatello, ID 83206-2067 Ph: (208) 238-6337 | 1157 Call Place, Pocatello, ID 83201 Ph: (208) 238-6337 |