| Family Practice Associates, Pa | |
|
21 E Maple St Suite A Hailey ID 83333-8401 | |
| (208) 788-3200 | |
| (208) 788-3386 |
| Full Name | Family Practice Associates, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 21 E Maple St, Hailey, Idaho |
| Authorized Official Name and Position | Donald M Levin (PHYSICIAN) |
| Authorized Official Contact | 2087883200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Associates, Pa 21 E Maple St Suite A Hailey ID 83333-8401 Ph: (208) 788-3200 | Family Practice Associates, Pa 21 E Maple St Suite A Hailey ID 83333-8401 Ph: (208) 788-3200 |
| NPI Number | 1184657686 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 03/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184657686 | NPI | - | NPPES |
| DG4201 | Other | ID | RR MEDICARE |
| 807644700 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | O14 (Idaho) | Primary |
Wood River Family Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 706 S Main St, Hailey, ID 83333 Phone: 208-788-3434 Fax: 208-788-2025 | |
Sterling Provider Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 507 S Main St, Hailey, ID 83333 Phone: 208-788-4122 Fax: 208-788-6430 | |
Family Practice Associates Pa Mid Level Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 E Maple St, Suite A, Hailey, ID 83333 Phone: 208-788-3200 Fax: 208-788-3386 |