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315 S Johns Ave Emmett ID 83617-3030 | |
| (208) 343-2737 | |
| (208) 342-3238 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 315 S Johns Ave, Emmett, Idaho |
| Authorized Official Name and Position | Tami Jones (PRESIDENT AND CEO) |
| Authorized Official Contact | 2083432737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2273 S Vista Ave #190 Boise ID 83705-7341 Ph: (208) 343-2737 | 315 S Johns Ave Emmett ID 83617-3030 Ph: (208) 343-2737 |
| NPI Number | 1316284490 |
|---|---|
| Provider Enumeration Date | 01/10/2013 |
| Last Update Date | 01/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316284490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M-4112 (Idaho) | Primary |
The Smith Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 N Wardwell Ave, Emmett, ID 83617 Phone: 208-365-6311 | |
Gem Family Practice, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1108 S Washington Ave, Emmett, ID 83617 Phone: 208-365-3455 Fax: 208-365-3422 | |