Family Care Physicians, Pa | |
112 5th Ave W Jerome ID 83338-1825 | |
(208) 324-1157 | |
(208) 324-3604 |
Full Name | Family Care Physicians, Pa |
---|---|
Speciality | Family Medicine |
Location | 112 5th Ave W, Jerome, Idaho |
Authorized Official Name and Position | James S Irwin (OWNER/PRESIDENT) |
Authorized Official Contact | 2083241157 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Family Care Physicians, Pa 112 5th Ave W Jerome ID 83338-1825 Ph: (208) 324-1157 | Family Care Physicians, Pa 112 5th Ave W Jerome ID 83338-1825 Ph: (208) 324-1157 |
NPI Number | 1124015342 |
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Provider Enumeration Date | 10/03/2005 |
Last Update Date | 10/14/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124015342 | NPI | - | NPPES |
8064244 | Medicaid | ID | |
8041512 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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