|
| |
|
1660 11th Ave N Nampa ID 83687-5000 | |
| (208) 442-2812 | |
| (208) 467-5978 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 1660 11th Ave N, Nampa, Idaho |
| Authorized Official Name and Position | Sue Broetje (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 2084422812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1660 11th Ave N Nampa ID 83687-5000 Ph: (208) 442-2812 | 1660 11th Ave N Nampa ID 83687-5000 Ph: (208) 442-2812 |
| NPI Number | 1265558019 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265558019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
First Care Medical Of Idaho, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 232 2nd St S, Nampa, ID 83651 Phone: 208-461-6523 | |
Hospitalist Medicine Physicians Of Idaho-tcg, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4300 E Flamingo Ave, Nampa, ID 83687 Phone: 208-205-1000 | |
Mercy Physician Group Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1512 12th Ave Rd, Nampa, ID 83686 Phone: 208-463-5000 Fax: 208-463-5578 | |
Greene Mountain Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3719 Wheeler Cir, Nampa, ID 83686 Phone: 208-695-0388 Fax: 208-606-3682 | |
Northwest Nazarene University Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 623 S University Blvd, Nampa, ID 83686 Phone: 208-467-8643 | |