| Grand Peaks Medical | |
|
335 E Main St Ste 1 Saint Anthony ID 83445-1546 | |
| (208) 356-4900 | |
| (208) 624-4116 |
| Full Name | Grand Peaks Medical |
|---|---|
| Speciality | Clinic/Center |
| Location | 335 E Main St Ste 1, Saint Anthony, Idaho |
| Authorized Official Name and Position | Lori K Sessions (CEO) |
| Authorized Official Contact | 2086244100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Peaks Medical Po Box 18 Saint Anthony ID 83445-0018 Ph: (208) 356-4900 | Grand Peaks Medical 335 E Main St Ste 1 Saint Anthony ID 83445-1546 Ph: (208) 356-4900 |
| NPI Number | 1972792489 |
|---|---|
| Provider Enumeration Date | 10/20/2007 |
| Last Update Date | 05/02/2024 |
| Medicare PECOS PAC ID | 4385725282 |
|---|---|
| Medicare Enrollment ID | O20080117000024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972792489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
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Fremont Family Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 W Main St, Saint Anthony, ID 83445 Phone: 208-680-2716 | |
Grand Peaks Pharmacy Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 335 E Main St Ste 4, Saint Anthony, ID 83445 Phone: 208-624-8300 Fax: 208-624-4114 |