| Idaho Orthopedic & Sports Clinic Pa | |
|
560 Memorial Dr Pocatello ID 83201-4073 | |
| (208) 234-1969 | |
| (208) 233-5033 |
| Full Name | Idaho Orthopedic & Sports Clinic Pa |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 560 Memorial Dr, Pocatello, Idaho |
| Authorized Official Name and Position | Ryan Hall (ADMINISTRATOR) |
| Authorized Official Contact | 2082341960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idaho Orthopedic & Sports Clinic Pa 560 Memorial Dr Pocatello ID 83201-4073 Ph: (208) 234-1969 | Idaho Orthopedic & Sports Clinic Pa 560 Memorial Dr Pocatello ID 83201-4073 Ph: (208) 234-1969 |
| NPI Number | 1538238571 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 07/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538238571 | NPI | - | NPPES |
| 805136500 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Community Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1595 Yellowstone Ave, Pocatello, ID 83201 Phone: 208-233-0032 | |
Family Medical Clinic Of Chubbuck Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 476 E Chubbuck Rd, Pocatello, ID 83202 Phone: 208-233-9898 Fax: 208-232-8566 | |
Superior Physical Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 Flandro Dr Ste 190, Pocatello, ID 83202 Phone: 208-233-2248 | |
Health West, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1001 N 7th Ave Ste 135, Pocatello, ID 83201 Phone: 208-232-7862 | |
Health West, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 955 W Alameda Rd, Pocatello, ID 83201 Phone: 208-237-2233 | |
Idaho Sports & Spine Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 950 Hospital Way, Ste A, Pocatello, ID 83201 Phone: 208-478-4522 Fax: 208-478-2935 | |
Mountain View Family Medicine, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2006 Birdie Thompson Dr, Pocatello, ID 83201 Phone: 208-232-1132 Fax: 208-232-1134 |