| Alpine Family Medicine | |
|
1013 Lake St Ste 102 Sandpoint ID 83864-5002 | |
| (208) 597-7910 | |
| Not Available |
| Full Name | Alpine Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1013 Lake St Ste 102, Sandpoint, Idaho |
| Authorized Official Name and Position | Katie Sweeney (OWNER) |
| Authorized Official Contact | 2085977910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpine Family Medicine Po Box 3482 Post Falls ID 83877-3482 Ph: () - | Alpine Family Medicine 1013 Lake St Ste 102 Sandpoint ID 83864-5002 Ph: (208) 597-7910 |
| NPI Number | 1194253336 |
|---|---|
| Provider Enumeration Date | 06/01/2017 |
| Last Update Date | 09/05/2017 |
| Medicare PECOS PAC ID | 3274804109 |
|---|---|
| Medicare Enrollment ID | O20170810001164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194253336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | NP-1211A (Idaho) | Primary |
| Provider Name | Katie M Sweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437405966 PECOS PAC ID: 7719138783 Enrollment ID: I20121126000073 |
| Provider Name | Anna Adelle Mena-schaures |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104430644 PECOS PAC ID: 0345668604 Enrollment ID: I20200917003202 |
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