Clover Creek Medical | |
175 North Main Street Bloomington ID 83223-8322 | |
(801) 362-0157 | |
(801) 362-0157 |
Full Name | Clover Creek Medical |
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Speciality | Clinic/center - Primary Care |
Location | 175 North Main Street, Bloomington, Idaho |
Authorized Official Name and Position | Brittany Strong (CEO) |
Authorized Official Contact | 8013620157 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Clover Creek Medical Po Box 208 Bloomington ID 83223-0208 Ph: (801) 362-0157 | Clover Creek Medical 175 North Main Street Bloomington ID 83223-8322 Ph: (801) 362-0157 |
NPI Number | 1073031118 |
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Provider Enumeration Date | 09/08/2017 |
Last Update Date | 09/08/2017 |
Identifier | Type | State | Issuer |
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1073031118 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |