Idaho Falls Clinic, P.a. | |
2001 S Woodruff Ave Suite #15 Idaho Falls ID 83404-6374 | |
(208) 522-7310 | |
(208) 524-0559 |
Full Name | Idaho Falls Clinic, P.a. |
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Speciality | Clinic/center |
Location | 2001 S Woodruff Ave, Idaho Falls, Idaho |
Authorized Official Name and Position | Christine C. Clark (ADMINISTRATOR) |
Authorized Official Contact | 2085227310 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Idaho Falls Clinic, P.a. 2001 S Woodruff Ave Suite #15 Idaho Falls ID 83404-6374 Ph: (208) 522-7310 | Idaho Falls Clinic, P.a. 2001 S Woodruff Ave Suite #15 Idaho Falls ID 83404-6374 Ph: (208) 522-7310 |
NPI Number | 1811932411 |
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Provider Enumeration Date | 06/18/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811932411 | NPI | - | NPPES |
P9154 | Other | ID | RR MEDICARE |
I843154 | Other | ID | TRICARE |
88468 | Other | ID | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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 | |