| Cherry Heights Family Clinic Llc | |
|
1560 N Crestmont Dr Ste A Meridian ID 83642-2178 | |
| (208) 650-4888 | |
| (208) 650-4892 |
| Full Name | Cherry Heights Family Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1560 N Crestmont Dr Ste A, Meridian, Idaho |
| Authorized Official Name and Position | Tahlia Dennis (DELEGATED OFFICIAL) |
| Authorized Official Contact | 0826504888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cherry Heights Family Clinic Llc 1560 N Crestmont Dr Ste A Meridian ID 83642-2178 Ph: (208) 650-4888 | Cherry Heights Family Clinic Llc 1560 N Crestmont Dr Ste A Meridian ID 83642-2178 Ph: (208) 650-4888 |
| NPI Number | 1952078115 |
|---|---|
| Provider Enumeration Date | 08/25/2021 |
| Last Update Date | 11/01/2024 |
| Medicare PECOS PAC ID | 0648678920 |
|---|---|
| Medicare Enrollment ID | O20211018002711 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952078115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Cherese R Combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275631244 PECOS PAC ID: 0941229074 Enrollment ID: I20051117000245 |
| Provider Name | Lane N Cable |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1891949517 PECOS PAC ID: 2365590858 Enrollment ID: I20090512000206 |
| Provider Name | Carla D Dirmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851624282 PECOS PAC ID: 2961549456 Enrollment ID: I20141203002169 |
| Provider Name | Staci Kelso Marsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366911414 PECOS PAC ID: 3870835697 Enrollment ID: I20190426002226 |
| Provider Name | Christina Freston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003170176 PECOS PAC ID: 5597919597 Enrollment ID: I20200317001020 |
| Provider Name | Darcy R Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629699251 PECOS PAC ID: 5597186932 Enrollment ID: I20200610002802 |
| Provider Name | Crystal Mcnally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538775390 PECOS PAC ID: 1456770742 Enrollment ID: I20201023002561 |
| Provider Name | Michelle Ann Hocker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760071716 PECOS PAC ID: 1557766557 Enrollment ID: I20210827002822 |
| Provider Name | Ashley Nicole Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326722752 PECOS PAC ID: 8123480118 Enrollment ID: I20230808000981 |
Jared M Furgeson Dds Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 W Cherry Ln, Suite 120, Meridian, ID 83642 Phone: 208-887-9000 | |
Hampton Roads Medical Specialists Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2131 S Bonito Way, Meridian, ID 83642 Phone: 208-489-9500 | |
Vast Durable Medical Equipment Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2985 S Meridian Rd Ste 140, Meridian, ID 83642 Phone: 208-860-2849 | |
Borron Family Medicine Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 790 W Ustick Rd, Ste 110, Meridian, ID 83646 Phone: 208-639-3990 Fax: 208-639-3992 | |
Primary Health Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1623 South Wells Avenue, Meridian, ID 83642 Phone: 208-489-1450 Fax: 208-489-1451 | |
Virtare Health Physician Services Of Idaho Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3597 E Monarch Sky Ln Ste 240, Meridian, ID 83646 Phone: 855-745-8400 | |
Terry Reilly Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3115 E Florence Dr, Meridian, ID 83642 Phone: 208-932-8992 Fax: 208-370-6215 |