| Erland Internal Medicine | |
|
3667 N Locust Grove Rd Meridian ID 83646-5924 | |
| (208) 939-9911 | |
| (208) 939-9911 |
| Full Name | Erland Internal Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 3667 N Locust Grove Rd, Meridian, Idaho |
| Authorized Official Name and Position | Kerilynn Erland (DIRECTOR) |
| Authorized Official Contact | 5416027999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Erland Internal Medicine 3667 N Locust Grove Rd Meridian ID 83646-5924 Ph: (208) 939-9090 | Erland Internal Medicine 3667 N Locust Grove Rd Meridian ID 83646-5924 Ph: (208) 939-9911 |
| NPI Number | 1104177757 |
|---|---|
| Provider Enumeration Date | 09/23/2012 |
| Last Update Date | 02/27/2021 |
| Medicare PECOS PAC ID | 0648424358 |
|---|---|
| Medicare Enrollment ID | O20130205000437 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104177757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | M6886 (Idaho) | Primary |
| Provider Name | Keri Erland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922059146 PECOS PAC ID: 4082699962 Enrollment ID: I20130205000441 |
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