Grace Clinic | |
114 W 1st S Grace ID 83241-5391 | |
(208) 425-3123 | |
(208) 547-2798 |
Full Name | Grace Clinic |
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Speciality | Clinic/center |
Location | 114 W 1st S, Grace, Idaho |
Authorized Official Name and Position | Christina Thomas (CEO) |
Authorized Official Contact | 2085472765 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Grace Clinic 300 S 3rd W Soda Springs ID 83276-1559 Ph: (208) 547-3341 | Grace Clinic 114 W 1st S Grace ID 83241-5391 Ph: (208) 425-3123 |
NPI Number | 1841485778 |
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Provider Enumeration Date | 09/13/2007 |
Last Update Date | 09/13/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841485778 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 37 (Idaho) | Primary |