Bella Family Healthcare & Aesthetics | |
1545 E Leighfield Dr Ste 100 Meridian ID 83646-5371 | |
(208) 957-6871 | |
(208) 957-6872 |
Full Name | Bella Family Healthcare & Aesthetics |
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Speciality | Clinic/Center |
Location | 1545 E Leighfield Dr Ste 100, Meridian, Idaho |
Authorized Official Name and Position | Suzanne Jardine (NP, OWNER) |
Authorized Official Contact | 2089576871 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bella Family Healthcare & Aesthetics 1545 E Leighfield Dr Ste 100 Meridian ID 83646-5371 Ph: (208) 957-6871 | Bella Family Healthcare & Aesthetics 1545 E Leighfield Dr Ste 100 Meridian ID 83646-5371 Ph: (208) 957-6871 |
NPI Number | 1275186835 |
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Provider Enumeration Date | 07/22/2019 |
Last Update Date | 07/22/2019 |
Medicare PECOS PAC ID | 1850727983 |
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Medicare Enrollment ID | O20200207001016 |
Identifier | Type | State | Issuer |
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1275186835 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Suzanne Jardine |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306390380 PECOS PAC ID: 9032405147 Enrollment ID: I20160915000741 |
Provider Name | Huiyong Chong Goodyear-fassihi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356911176 PECOS PAC ID: 3779976436 Enrollment ID: I20220202001232 |
Provider Name | Michelle L Monson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861110629 PECOS PAC ID: 9032587563 Enrollment ID: I20221115000849 |
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