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3729 Woodking Dr Ste 1 Idaho Falls ID 83404-4720 | |
(208) 356-4900 | |
(208) 612-6118 |
Full Name | |
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Speciality | Clinic/Center |
Location | 3729 Woodking Dr Ste 1, Idaho Falls, Idaho |
Authorized Official Name and Position | Lori K Sessions (CEO) |
Authorized Official Contact | 2083564900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 18 Saint Anthony ID 83445-0018 Ph: (208) 356-4900 | 3729 Woodking Dr Ste 1 Idaho Falls ID 83404-4720 Ph: (208) 356-4900 |
NPI Number | 1932961810 |
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Provider Enumeration Date | 01/26/2024 |
Last Update Date | 05/02/2024 |
Medicare PECOS PAC ID | 4385725282 |
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Medicare Enrollment ID | O20240610002569 |
Identifier | Type | State | Issuer |
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1932961810 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
Physician Skin Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 730 S Woodruff Ave, Idaho Falls, ID 83401 Phone: 208-542-9111 | |
Family First Medical Center, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3614 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-552-7700 Fax: 208-552-1783 | |
Neville Spinal Balance Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2145 West Broadway Street, Idaho Falls, ID 83402 Phone: 208-522-3130 | |
R.k. Arbon, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2860 Channing Way, Suite 116, Idaho Falls, ID 83404 Phone: 208-529-0575 Fax: 208-528-0223 | |