| Genesis Medical Center | |
|
10255 Overland Rd Boise ID 83709-1430 | |
| (208) 367-7205 | |
| Not Available |
| Full Name | Genesis Medical Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 10255 Overland Rd, Boise, Idaho |
| Authorized Official Name and Position | Karl Watts (SENIOR PARTNER) |
| Authorized Official Contact | 2083677205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Medical Center 10255 Overland Rd Boise ID 83709-1430 Ph: (208) 367-7205 | Genesis Medical Center 10255 Overland Rd Boise ID 83709-1430 Ph: (208) 367-7205 |
| NPI Number | 1992741490 |
|---|---|
| Provider Enumeration Date | 06/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992741490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Idaho) | Primary |
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