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4742 Yellowstone Ave Pocatello ID 83202-2336 | |
| (208) 251-0316 | |
| (208) 576-6929 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 4742 Yellowstone Ave, Pocatello, Idaho |
| Authorized Official Name and Position | Jacob Erickson (CEO) |
| Authorized Official Contact | 2087853801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
98 Poplar St Blackfoot ID 83221-1758 Ph: (208) 785-4100 | 4742 Yellowstone Ave Pocatello ID 83202-2336 Ph: (208) 251-0316 |
| NPI Number | 1881190650 |
|---|---|
| Provider Enumeration Date | 04/02/2018 |
| Last Update Date | 07/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881190650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Community Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1595 Yellowstone Ave, Pocatello, ID 83201 Phone: 208-233-0032 | |
Health West, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1001 N 7th Ave Ste 135, Pocatello, ID 83201 Phone: 208-232-7862 | |
Health West, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 955 W Alameda Rd, Pocatello, ID 83201 Phone: 208-237-2233 | |
Mountain View Family Medicine, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2006 Birdie Thompson Dr, Pocatello, ID 83201 Phone: 208-232-1132 Fax: 208-232-1134 |