| Family Medical Center | |
|
1 Professional Plz Rexburg ID 83440-2024 | |
| (208) 356-9231 | |
| (208) 356-9141 |
| Full Name | Family Medical Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1 Professional Plz, Rexburg, Idaho |
| Authorized Official Name and Position | Michael M Packer (OWNER) |
| Authorized Official Contact | 2083569231 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Center 1 Professional Plz Rexburg ID 83440-2024 Ph: (208) 356-9231 | Family Medical Center 1 Professional Plz Rexburg ID 83440-2024 Ph: (208) 356-9231 |
| NPI Number | 1285700377 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 09/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285700377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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