| Caring Physician's Medical Clinic | |
|
8827 N Government Way Unit 2 Hayden ID 83835-8231 | |
| (208) 762-5577 | |
| (208) 762-5520 |
| Full Name | Caring Physician's Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 8827 N Government Way Unit 2, Hayden, Idaho |
| Authorized Official Name and Position | Donald Anthony Baker (OWNER) |
| Authorized Official Contact | 2087625577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caring Physician's Medical Clinic 8827 N Government Way Unit 2 Hayden ID 83835-8231 Ph: (208) 762-5577 | Caring Physician's Medical Clinic 8827 N Government Way Unit 2 Hayden ID 83835-8231 Ph: (208) 762-5577 |
| NPI Number | 1629139720 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 03/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629139720 | NPI | - | NPPES |
| 000010151310 | Other | ID | REGENCE |
| 003594300 | Medicaid | ID | |
| PIN B5688 GR 8M925 | Other | ID | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M6692 (Idaho) | Primary |
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