| Doctors Clinic Of Elmore County Pllc | |
|
2000 American Legion Blvd Mountain Home ID 83647-3138 | |
| (208) 587-1500 | |
| (208) 587-3180 |
| Full Name | Doctors Clinic Of Elmore County Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2000 American Legion Blvd, Mountain Home, Idaho |
| Authorized Official Name and Position | Layne D Roberts (PHYSICIAN) |
| Authorized Official Contact | 2085871500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctors Clinic Of Elmore County Pllc 2000 American Legion Blvd Mountain Home ID 83647-3138 Ph: (208) 587-1500 | Doctors Clinic Of Elmore County Pllc 2000 American Legion Blvd Mountain Home ID 83647-3138 Ph: (208) 587-1500 |
| NPI Number | 1063578664 |
|---|---|
| Provider Enumeration Date | 12/28/2006 |
| Last Update Date | 02/25/2008 |
| Medicare PECOS PAC ID | 8224098413 |
|---|---|
| Medicare Enrollment ID | O20041012001423 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063578664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | O-91 (Idaho) | Primary |
| 363A00000X | Physician Assistant | PA-265 (Idaho) | Secondary |
| Provider Name | Layne D Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902809205 PECOS PAC ID: 3577523760 Enrollment ID: I20041012001443 |
Idaho Behavioral Health, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2420 American Legion Blvd, Mountain Home, ID 83647 Phone: 208-580-9525 Fax: 208-580-9527 | |
Michael P Koelsch Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 N 6th E, Mountain Home, ID 83647 Phone: 208-587-5880 Fax: 208-587-7905 | |
St Lukes Rhc - Trinity Mountain Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 465 Mckenna Dr, Mountain Home, ID 83647 Phone: 208-587-9703 | |
Desert Sage Health Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 120 Desert Sage Way, Mountain Home, ID 83647 Phone: 208-587-3988 Fax: 208-587-3324 | |
North Canyon Mountain Home Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 840 N 4th E, Mountain Home, ID 83647 Phone: 208-934-8829 Fax: 208-934-4874 | |
Trinity Mountain Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 465 Mckenna Dr, Mountain Home, ID 83647 Phone: 208-587-9703 Fax: 208-580-9812 |