| Hurst Medical Pllc | |
|
1700 Overland Ave Ste 1 Burley ID 83318 | |
| (208) 825-6193 | |
| (208) 825-6199 |
| Full Name | Hurst Medical Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1700 Overland Ave Ste 1, Burley, Idaho |
| Authorized Official Name and Position | Cindy Hurst (NP, OWNER) |
| Authorized Official Contact | 2088256193 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hurst Medical Pllc 1700 Overland Ave Ste 1 Burley ID 83318 Ph: (208) 825-6193 | Hurst Medical Pllc 1700 Overland Ave Ste 1 Burley ID 83318 Ph: (208) 825-6193 |
| NPI Number | 1609335090 |
|---|---|
| Provider Enumeration Date | 03/15/2019 |
| Last Update Date | 10/09/2023 |
| Medicare PECOS PAC ID | 5395088876 |
|---|---|
| Medicare Enrollment ID | O20190524001223 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609335090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Cindy R Hurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265887319 PECOS PAC ID: 5597051953 Enrollment ID: I20160912000172 |
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