| Friends & Family Medical Clinic, Inc. | |
|
303 2nd Ave S Nampa ID 83651-3713 | |
| (208) 899-8379 | |
| (877) 737-5511 |
| Full Name | Friends & Family Medical Clinic, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 303 2nd Ave S, Nampa, Idaho |
| Authorized Official Name and Position | Marjan Sadeghpanahi (PRESIDENT) |
| Authorized Official Contact | 4245333186 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Friends & Family Medical Clinic, Inc. 303 2nd Ave S Nampa ID 83651-3713 Ph: (208) 899-8379 | Friends & Family Medical Clinic, Inc. 303 2nd Ave S Nampa ID 83651-3713 Ph: (208) 899-8379 |
| NPI Number | 1922199694 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 01/21/2025 |
| Medicare PECOS PAC ID | 4789680984 |
|---|---|
| Medicare Enrollment ID | O20061011000481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922199694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Marjan Saba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447293378 PECOS PAC ID: 6406852615 Enrollment ID: I20061011000512 |
| Provider Name | Lisa Tonelli Laguna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750928388 PECOS PAC ID: 6204223019 Enrollment ID: I20220728001968 |
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