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551 Highland Dr Arco ID 83213-5003 | |
(208) 527-8206 | |
(208) 527-3616 |
Full Name | |
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Speciality | Family Medicine |
Location | 551 Highland Dr, Arco, Idaho |
Authorized Official Name and Position | Brad Huerta (CEO) |
Authorized Official Contact | 2085278206 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 815 Arco ID 83213-0815 Ph: (208) 527-8206 | 551 Highland Dr Arco ID 83213-5003 Ph: (208) 527-8206 |
NPI Number | 1427062181 |
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Provider Enumeration Date | 07/28/2006 |
Last Update Date | 05/01/2017 |
Medicare PECOS PAC ID | 7810807427 |
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Medicare Enrollment ID | O20030513000038 |
Identifier | Type | State | Issuer |
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1427062181 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |