| Kurt E Kracaw Md Llc | |
|
426 Farnsworth Way Ste 1 Rigby ID 83442-4713 | |
| (208) 745-9411 | |
| (208) 745-9910 |
| Full Name | Kurt E Kracaw Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 426 Farnsworth Way Ste 1, Rigby, Idaho |
| Authorized Official Name and Position | Kurt Edwin Kracaw (OWNER) |
| Authorized Official Contact | 7757724208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kurt E Kracaw Md Llc Po Box 3208 Idaho Falls ID 83403-3208 Ph: (208) 523-4906 | Kurt E Kracaw Md Llc 426 Farnsworth Way Ste 1 Rigby ID 83442-4713 Ph: (208) 745-9411 |
| NPI Number | 1467963496 |
|---|---|
| Provider Enumeration Date | 10/17/2017 |
| Last Update Date | 04/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467963496 | NPI | - | NPPES |
| 1285723460 | Other | TYPE 1 NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M-13115 (Idaho) | Primary |
Upper Valley Family Medicine Rhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 530 Rigby Lake Dr, Rigby, ID 83442 Phone: 208-745-5021 Fax: 208-745-5026 | |
Upper Valley Family Medicine Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 711 Rigby Lake Dr Ste 115, Rigby, ID 83442 Phone: 208-745-5021 Fax: 208-745-5026 | |
Zion Healing Center Rigby Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Stockham Blvd Ste C-2, Rigby, ID 83442 Phone: 208-417-4899 | |
Renew 4 Life, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 S 5th W Ste E, Rigby, ID 83442 Phone: 208-745-0467 Fax: 208-745-0409 | |
Rigby Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 477 Pleasant County Ln, Rigby, ID 83442 Phone: 208-359-6900 | |
Mountain View Hospital Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 167 E 1st S, Rigby, ID 83442 Phone: 208-745-8747 |