Firstline Medical | |
6000 W Overland Rd Boise ID 83709-3013 | |
(208) 323-7588 | |
(208) 515-3468 |
Full Name | Firstline Medical |
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Speciality | General Practice |
Location | 6000 W Overland Rd, Boise, Idaho |
Authorized Official Name and Position | Hugh G Sterling (OWNER) |
Authorized Official Contact | 2083237588 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Firstline Medical 6000 W Overland Rd Boise ID 83709-3013 Ph: (208) 323-7588 | Firstline Medical 6000 W Overland Rd Boise ID 83709-3013 Ph: (208) 323-7588 |
NPI Number | 1104179670 |
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Provider Enumeration Date | 10/22/2012 |
Last Update Date | 10/22/2012 |
Medicare PECOS PAC ID | 0749433159 |
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Medicare Enrollment ID | O20130116000104 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104179670 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Hugh G Sterling |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538198098 PECOS PAC ID: 7517908833 Enrollment ID: I20050517000996 |
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