| Family Care Clinic, Llc | |
|
8050 W Rifleman St Ste 100 Boise ID 83704-9006 | |
| (208) 321-0634 | |
| (208) 321-1082 |
| Full Name | Family Care Clinic, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 8050 W Rifleman St Ste 100, Boise, Idaho |
| Authorized Official Name and Position | Laurie Miller (OFFICE MANAGER) |
| Authorized Official Contact | 2083210634 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Clinic, Llc 8050 W Rifleman St Ste 100 Boise ID 83704-9006 Ph: (208) 321-0634 | Family Care Clinic, Llc 8050 W Rifleman St Ste 100 Boise ID 83704-9006 Ph: (208) 321-0634 |
| NPI Number | 1811329592 |
|---|---|
| Provider Enumeration Date | 08/05/2013 |
| Last Update Date | 08/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811329592 | NPI | - | NPPES |
| 1265565477 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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