Associates In Family Practice Pa | |
425 Idaho St Gooding ID 83330 | |
(208) 934-5900 | |
(208) 934-5719 |
Full Name | Associates In Family Practice Pa |
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Speciality | Family Medicine |
Location | 425 Idaho St, Gooding, Idaho |
Authorized Official Name and Position | Susie Dolleslager (OFFICE MANAGER) |
Authorized Official Contact | 2089345900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Associates In Family Practice Pa Po Box 500 Wendell ID 83355 Ph: (208) 536-5900 | Associates In Family Practice Pa 425 Idaho St Gooding ID 83330 Ph: (208) 934-5900 |
NPI Number | 1023030848 |
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Provider Enumeration Date | 07/24/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 2163330325 |
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Medicare Enrollment ID | O20030724000006 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023030848 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Associates In Family Practice Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 425 Idaho St, Gooding, ID 83330 Phone: 208-934-5900 Fax: 208-934-5719 | |
Gooding Family Physicians Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 134 4th Ave W, Gooding, ID 83330 Phone: 208-934-4446 Fax: 208-934-4442 | |
North Canyon Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 267 N. Canyon Drive, Gooding, ID 83330 Phone: 208-934-4446 Fax: 208-934-4442 | |
Associates In Family Practice Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 425 Idaho St, Gooding, ID 83330 Phone: 208-934-5900 Fax: 208-934-5719 |