Dominican Health Services | |
1118 Nw 16th St Fruitland ID 83619-2271 | |
(208) 452-6851 | |
(541) 881-7156 |
Full Name | Dominican Health Services |
---|---|
Speciality | Family Medicine |
Location | 1118 Nw 16th St, Fruitland, Idaho |
Authorized Official Name and Position | Mark Dalley (CEO) |
Authorized Official Contact | 5418817020 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dominican Health Services 351 Sw 9th St Ontario OR 97914-2639 Ph: (541) 881-7020 | Dominican Health Services 1118 Nw 16th St Fruitland ID 83619-2271 Ph: (208) 452-6851 |
NPI Number | 1750372579 |
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Provider Enumeration Date | 11/01/2005 |
Last Update Date | 06/25/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750372579 | NPI | - | NPPES |
134054 | Medicaid | OR | |
E8340 | Other | ID | BCID GROUP |
8053332-00 | Medicaid | ID | |
X-009702000 | Other | OR | BLUE CROSS OF OREGON |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 00189759321500 (Oregon) | Primary |
Saint Alphonsus Medical Group Dominican Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1118 Nw 16th St, Suite A, Fruitland, ID 83619 Phone: 208-452-6851 | |
Snake River Pediatrics, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1100 Nw 12th St, Fruitland, ID 83619 Phone: 208-452-6556 Fax: 541-216-6557 | |
Saint Alphonsus Medical Group Fruitland Health Plaza Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 910 Nw 16th St, Ste 101, Fruitland, ID 83619 Phone: 208-452-6851 | |
The Gardens Chiropractic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2007 N Whitley Dr, Fruitland, ID 83619 Phone: 208-695-0098 |