| Family Medical Center Pllc | |
|
360 E Liberty St Weiser ID 83672-2261 | |
| (208) 414-1124 | |
| (208) 414-0947 |
| Full Name | Family Medical Center Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 360 E Liberty St, Weiser, Idaho |
| Authorized Official Name and Position | Bryan L Drake (PARTNER) |
| Authorized Official Contact | 2084141124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Center Pllc 360 E Liberty St Weiser ID 83672-2261 Ph: (208) 414-1124 | Family Medical Center Pllc 360 E Liberty St Weiser ID 83672-2261 Ph: (208) 414-1124 |
| NPI Number | 1972545556 |
|---|---|
| Provider Enumeration Date | 06/11/2006 |
| Last Update Date | 02/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972545556 | NPI | - | NPPES |
| 8006347400 | Medicaid | ID | |
| R135455 | Other | OR | MEDICARE PART B |
| 1369418 | Other | ID | MEDICARE PART B |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Family Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 E Liberty St, Weiser, ID 83672 Phone: 208-414-1124 Fax: 208-414-0947 | |
Weiser Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 645 E. 5th St., Weiser, ID 83672 Phone: 208-549-0370 Fax: 208-549-4146 | |
Two Rivers Medical Clinic, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 683 E 3rd St, Weiser, ID 83672 Phone: 208-549-0211 Fax: 208-549-0104 | |
Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 E Liberty St, Weiser, ID 83672 Phone: 208-414-1124 Fax: 208-414-0947 |