| Doctors Clinic Pa | |
|
590 Gifford Ave American Falls ID 83211-1314 | |
| (208) 226-5147 | |
| (208) 226-7002 |
| Full Name | Doctors Clinic Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 590 Gifford Ave, American Falls, Idaho |
| Authorized Official Name and Position | Dean L Williams (MD) |
| Authorized Official Contact | 2082265147 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctors Clinic Pa 590 Gifford Ave American Falls ID 83211-1314 Ph: (208) 226-5147 | Doctors Clinic Pa 590 Gifford Ave American Falls ID 83211-1314 Ph: (208) 226-5147 |
| NPI Number | 1588863591 |
|---|---|
| Provider Enumeration Date | 07/11/2007 |
| Last Update Date | 07/11/2007 |
| Medicare PECOS PAC ID | 6103065545 |
|---|---|
| Medicare Enrollment ID | O20130617000208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588863591 | NPI | - | NPPES |
| 3687-1 | Other | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M3687 (Idaho) | Primary |
| Provider Name | Dean L Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760464127 PECOS PAC ID: 3577702919 Enrollment ID: I20130617000189 |
Health West American Falls Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 823 Reed St, American Falls, ID 83211 Phone: 208-226-2822 Fax: 208-226-5797 |