Falls Avenue Immediate Care Pa | |
260 Falls Ave Ste D Twin Falls ID 83301-3370 | |
(208) 733-6700 | |
(208) 733-0803 |
Full Name | Falls Avenue Immediate Care Pa |
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Speciality | Clinic/Center |
Location | 260 Falls Ave Ste D, Twin Falls, Idaho |
Authorized Official Name and Position | W Scott Rudeen (OWNER) |
Authorized Official Contact | 2087336700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Falls Avenue Immediate Care Pa 260 Falls Ave Ste D Twin Falls ID 83301-3370 Ph: (208) 733-6700 | Falls Avenue Immediate Care Pa 260 Falls Ave Ste D Twin Falls ID 83301-3370 Ph: (208) 733-6700 |
NPI Number | 1912481292 |
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Provider Enumeration Date | 09/21/2018 |
Last Update Date | 02/07/2022 |
Medicare PECOS PAC ID | 6204172802 |
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Medicare Enrollment ID | O20190117002214 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912481292 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
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