| Clinic At Eagle Llc | |
|
600 E State St Suite 200 Eagle ID 83616-6081 | |
| (208) 939-2237 | |
| (208) 939-5888 |
| Full Name | Clinic At Eagle Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 600 E State St, Eagle, Idaho |
| Authorized Official Name and Position | Kathe Alkire (OWNER) |
| Authorized Official Contact | 2089392273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinic At Eagle Llc Po Box 9589 Boise ID 83707-4589 Ph: (208) 472-8112 | Clinic At Eagle Llc 600 E State St Suite 200 Eagle ID 83616-6081 Ph: (208) 939-2237 |
| NPI Number | 1306807441 |
|---|---|
| Provider Enumeration Date | 03/29/2006 |
| Last Update Date | 07/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306807441 | NPI | - | NPPES |
| 000010135253 | Other | ID | BLUE SHIELD |
| 8G171 | Other | ID | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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