| Innovative Health Solutions, Llc | |
|
3183 N Cole Rd Boise ID 83704-5921 | |
| (208) 322-4555 | |
| Not Available |
| Full Name | Innovative Health Solutions, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3183 N Cole Rd, Boise, Idaho |
| Authorized Official Name and Position | Darrell Oakes (OWNER, AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2083224555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Health Solutions, Llc 3183 N Cole Rd Boise ID 83704-5921 Ph: (208) 322-4555 | Innovative Health Solutions, Llc 3183 N Cole Rd Boise ID 83704-5921 Ph: (208) 322-4555 |
| NPI Number | 1285274084 |
|---|---|
| Provider Enumeration Date | 01/09/2020 |
| Last Update Date | 01/09/2020 |
| Medicare PECOS PAC ID | 9638505571 |
|---|---|
| Medicare Enrollment ID | O20200212001471 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285274084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Sheryl L Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831129436 PECOS PAC ID: 7416917075 Enrollment ID: I20041018000785 |
| Provider Name | Melissa E Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063988046 PECOS PAC ID: 5890032403 Enrollment ID: I20190121000264 |
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