Primary Health Medical Group | |
Kuna Primary Health Medical Group 1474 N. Meridian Road Kuna ID 83634 | |
(208) 809-2885 | |
(208) 809-2886 |
Full Name | Primary Health Medical Group |
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Speciality | Family Medicine |
Location | Kuna Primary Health Medical Group, Kuna, Idaho |
Authorized Official Name and Position | Marie Hardwick (CREDENTIALING MANAGER) |
Authorized Official Contact | 2089851399 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Primary Health Medical Group Po Box 191050 Boise ID 83719-1050 Ph: (208) 955-6500 | Primary Health Medical Group Kuna Primary Health Medical Group 1474 N. Meridian Road Kuna ID 83634 Ph: (208) 809-2885 |
NPI Number | 1780298430 |
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Provider Enumeration Date | 09/01/2020 |
Last Update Date | 01/26/2022 |
Medicare PECOS PAC ID | 3971544685 |
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Medicare Enrollment ID | O20210428000182 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780298430 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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