| Imed Hrs Idaho | |
|
777 Hospital Way Pocatello ID 83201-2753 | |
| (801) 507-3500 | |
| Not Available |
| Full Name | Imed Hrs Idaho |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 777 Hospital Way, Pocatello, Idaho |
| Authorized Official Name and Position | Kelly J Howard (DIRECTOR) |
| Authorized Official Contact | 8014421425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imed Hrs Idaho Po Box 27128 Salt Lake City UT 84127-0128 Ph: (801) 507-3533 | Imed Hrs Idaho 777 Hospital Way Pocatello ID 83201-2753 Ph: (801) 507-3500 |
| NPI Number | 1073747929 |
|---|---|
| Provider Enumeration Date | 05/06/2009 |
| Last Update Date | 05/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073747929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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