| Vandal Health Clinic | |
|
831 Ash St Moscow ID 83844-9803 | |
| (208) 885-2210 | |
| (208) 885-1002 |
| Full Name | Vandal Health Clinic |
|---|---|
| Speciality | General Practice |
| Location | 831 Ash St, Moscow, Idaho |
| Authorized Official Name and Position | Crystal Marie Hogg (DIRECTOR, ADMIN & FISCAL OPERATIONS) |
| Authorized Official Contact | 2088856076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vandal Health Clinic 875 Perimeter Dr # Ms 4203 Moscow ID 83844-9803 Ph: (208) 885-2210 | Vandal Health Clinic 831 Ash St Moscow ID 83844-9803 Ph: (208) 885-2210 |
| NPI Number | 1548762867 |
|---|---|
| Provider Enumeration Date | 03/02/2018 |
| Last Update Date | 04/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548762867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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