| Digestive Health Services, Ltd | |
|
1411 Falls Ave E Ste 1151 Twin Falls ID 83301-3455 | |
| (208) 933-4277 | |
| (208) 933-4280 |
| Full Name | Digestive Health Services, Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 1411 Falls Ave E Ste 1151, Twin Falls, Idaho |
| Authorized Official Name and Position | Ted Rea (OWNER) |
| Authorized Official Contact | 2082807541 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Health Services, Ltd 1411 Falls Ave E Ste 1151 Twin Falls ID 83301-3455 Ph: (208) 933-4277 | Digestive Health Services, Ltd 1411 Falls Ave E Ste 1151 Twin Falls ID 83301-3455 Ph: (208) 933-4277 |
| NPI Number | 1821364332 |
|---|---|
| Provider Enumeration Date | 03/29/2012 |
| Last Update Date | 04/09/2013 |
| Medicare PECOS PAC ID | 2567609761 |
|---|---|
| Medicare Enrollment ID | O20130507000490 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821364332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | M6676 (Idaho) | Primary |
| Provider Name | Ted L Rea |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497795215 PECOS PAC ID: 7719873322 Enrollment ID: I20040223000213 |
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