Family First Medical Center, Pllc | |
3614 Washington Pkwy Idaho Falls ID 83404-7573 | |
(208) 552-7700 | |
(208) 552-1783 |
Full Name | Family First Medical Center, Pllc |
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Speciality | Family Medicine |
Location | 3614 Washington Pkwy, Idaho Falls, Idaho |
Authorized Official Name and Position | Flint R Packer (OWNER) |
Authorized Official Contact | 2085527700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family First Medical Center, Pllc 3614 Washington Pkwy Idaho Falls ID 83404-7573 Ph: (208) 552-7700 | Family First Medical Center, Pllc 3614 Washington Pkwy Idaho Falls ID 83404-7573 Ph: (208) 552-7700 |
NPI Number | 1033314273 |
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Provider Enumeration Date | 06/18/2007 |
Last Update Date | 04/20/2012 |
Medicare PECOS PAC ID | 1052480076 |
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Medicare Enrollment ID | O20080516000580 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033314273 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Flint R Packer |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932259892 PECOS PAC ID: 2769551795 Enrollment ID: I20100329001039 |
Provider Name | Boyd Kimball Southwick |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578613337 PECOS PAC ID: 9537131065 Enrollment ID: I20100730000055 |
Provider Name | Emilie L Peterson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1588065882 PECOS PAC ID: 0749408615 Enrollment ID: I20140908000164 |
Provider Name | Candice Laree Tovey |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1194130856 PECOS PAC ID: 8325355050 Enrollment ID: I20150914001404 |
Provider Name | Melissa Kelly |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235594177 PECOS PAC ID: 6709181779 Enrollment ID: I20160229003005 |
Provider Name | Spencer Southwick |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1447233739 PECOS PAC ID: 0648374413 Enrollment ID: I20171017002692 |
Provider Name | Craig G Steiner |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710477500 PECOS PAC ID: 2163821984 Enrollment ID: I20210527003238 |
Provider Name | Serge Sicular |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1326276866 PECOS PAC ID: 0941442958 Enrollment ID: I20230121000000 |
Provider Name | Wendell Wilmoth |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1245499003 PECOS PAC ID: 8123258746 Enrollment ID: I20230216000924 |
Provider Name | Marcus Cox |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1922298868 PECOS PAC ID: 4486626249 Enrollment ID: I20230223001368 |
Provider Name | Anthony Hamame |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1184872327 PECOS PAC ID: 8022250752 Enrollment ID: I20230307003307 |
Provider Name | Howard Kessler |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1477500775 PECOS PAC ID: 2769387620 Enrollment ID: I20230313002822 |
Provider Name | Carlos Zamora |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1023314952 PECOS PAC ID: 9436303138 Enrollment ID: I20230328001116 |
Provider Name | Tejas Patel |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1861768152 PECOS PAC ID: 9739481292 Enrollment ID: I20230330001730 |
Provider Name | Michael Ramsay |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1942272562 PECOS PAC ID: 5092709014 Enrollment ID: I20230418001622 |
Provider Name | Paul Depippo |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1114939063 PECOS PAC ID: 9830126051 Enrollment ID: I20230425002624 |
Provider Name | Johnathan Hays |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1366654162 PECOS PAC ID: 5698825867 Enrollment ID: I20230530001999 |
Provider Name | Leyla Nasehi |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1043629504 PECOS PAC ID: 3577859271 Enrollment ID: I20230906001928 |
Provider Name | William Strimel |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1366425134 PECOS PAC ID: 0345243028 Enrollment ID: I20230921003462 |
Provider Name | Deirdra Patterson |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1407628001 PECOS PAC ID: 1850749664 Enrollment ID: I20231204002539 |
Provider Name | Adora Pali |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1730951260 PECOS PAC ID: 9234588583 Enrollment ID: I20231212001020 |
Provider Name | Brittany J Poulson |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1881036820 PECOS PAC ID: 3870942147 Enrollment ID: I20231212001840 |
Provider Name | Katherine Rogomentich |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1922870823 PECOS PAC ID: 7719337559 Enrollment ID: I20231220001710 |
Provider Name | Malinda Ann Barnes |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1740032333 PECOS PAC ID: 4789026972 Enrollment ID: I20240520001357 |
Provider Name | Hiram Benjamin Wigant |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1356198717 PECOS PAC ID: 4789126129 Enrollment ID: I20240612004237 |
Provider Name | Chelsea Ryanne Cobabe |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1831938711 PECOS PAC ID: 5395288799 Enrollment ID: I20240613002021 |
Shane G Machen, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1995 E 17th St Ste A, Idaho Falls, ID 83404 Phone: 208-522-7666 Fax: 208-524-2821 | |
Physician Skin Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 730 S Woodruff Ave, Idaho Falls, ID 83401 Phone: 208-542-9111 | |
Imed Hrs Idaho Falls Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 801-507-3500 | |
Neville Spinal Balance Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2145 West Broadway Street, Idaho Falls, ID 83402 Phone: 208-522-3130 | |
R.k. Arbon, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2860 Channing Way, Suite 116, Idaho Falls, ID 83404 Phone: 208-529-0575 Fax: 208-528-0223 | |
Idaho Falls Family & Sports Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3360 Washington Pkwy, Suite 1, Idaho Falls, ID 83404 Phone: 208-524-3416 Fax: 208-524-3138 |