| Kooskia Medical Clinic | |
|
301 Cedar St Orofino ID 83544-9029 | |
| (208) 476-4555 | |
| (208) 476-5385 |
| Full Name | Kooskia Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 301 Cedar St, Orofino, Idaho |
| Authorized Official Name and Position | Larry Barker (COO) |
| Authorized Official Contact | 2084764555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kooskia Medical Clinic 201 Thenon St Kooskia ID 83539 Ph: (208) 926-7801 | Kooskia Medical Clinic 301 Cedar St Orofino ID 83544-9029 Ph: (208) 476-4555 |
| NPI Number | 1891733747 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 04/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891733747 | NPI | - | NPPES |
| 805060900 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
Clearwater Valley Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 Cedar St, Orofino, ID 83544 Phone: 208-476-4555 Fax: 208-476-5385 | |
Clearwater Valley Hospital Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 Cedar St, Orofino, ID 83544 Phone: 208-476-4555 Fax: 208-476-5385 | |
Orofino Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Cedar St, Orofino, ID 83544 Phone: 208-476-4555 Fax: 208-476-5385 |