Core Medicine Of Idaho | |
4605 Enterprise Way Ste 101 Caldwell ID 83605-8360 | |
(208) 353-7518 | |
Not Available |
Full Name | Core Medicine Of Idaho |
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Speciality | Clinic/Center |
Location | 4605 Enterprise Way, Caldwell, Idaho |
Authorized Official Name and Position | Sophie Rath (MANANGER) |
Authorized Official Contact | 2087955090 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Core Medicine Of Idaho 2667 E Gala Ct Ste 130 Meridian ID 83642-2788 Ph: (208) 795-5090 | Core Medicine Of Idaho 4605 Enterprise Way Ste 101 Caldwell ID 83605-8360 Ph: (208) 353-7518 |
NPI Number | 1043927882 |
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Provider Enumeration Date | 11/01/2022 |
Last Update Date | 01/16/2024 |
Medicare PECOS PAC ID | 8921441163 |
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Medicare Enrollment ID | O20240205003476 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043927882 | NPI | - | NPPES |
1295734796 | Medicaid | ID |
Provider Name | Keira Elaine Toone |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780092130 PECOS PAC ID: 3678790540 Enrollment ID: I20240205003640 |
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