Full Name | |
---|---|
Speciality | General Practice |
Location | 831 Ash St, Moscow, Idaho |
Authorized Official Name and Position | Aaron Papin (EHR AND POLICY MANAGER) |
Authorized Official Contact | 2088856693 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
875 Perimeter Dr # Ms 4201 Moscow ID 83844-9803 Ph: (208) 885-6693 | 831 Ash St Moscow ID 83844-9803 Ph: (208) 885-2210 |
NPI Number | 1548762867 |
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Provider Enumeration Date | 03/02/2018 |
Last Update Date | 11/20/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548762867 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Community Healthcare Of The Palouse Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 619 S Washington St, Ste 203, Moscow, ID 83843 Phone: 208-892-1346 Fax: 208-892-8306 | |
Gritman Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 W A St Ste G, Moscow, ID 83843 Phone: 208-882-4511 Fax: 208-883-6580 | |