| Lakeview Medical Clinic | |
|
300 S 3rd W Soda Springs ID 83276-1559 | |
| (208) 547-3341 | |
| (208) 547-2790 |
| Full Name | Lakeview Medical Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 300 S 3rd W, Soda Springs, Idaho |
| Authorized Official Name and Position | John L Hoopes (CEO) |
| Authorized Official Contact | 2085473341 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeview Medical Clinic 300 S 3rd W Soda Springs ID 83276-1559 Ph: (208) 547-3341 | Lakeview Medical Clinic 300 S 3rd W Soda Springs ID 83276-1559 Ph: (208) 547-3341 |
| NPI Number | 1154524403 |
|---|---|
| Provider Enumeration Date | 06/06/2007 |
| Last Update Date | 12/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154524403 | NPI | - | NPPES |
| 806721500 | Medicaid | ID | |
| 8F975 | Other | ID | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 37 (Idaho) | Primary |
Caribou Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 S 3rd W, Soda Springs, ID 83276 Phone: 208-547-4961 Fax: 208-547-3781 | |
Gerald Lee Young Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 366 S 3rd W, Soda Springs, ID 83276 Phone: 208-547-4961 Fax: 208-547-3781 | |
Caribou Medical Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 S 3rd W, Soda Springs, ID 83276 Phone: 208-547-3341 Fax: 208-547-2790 | |
Caribou Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 South 3rd West, Soda Springs, ID 83276 Phone: 208-547-3341 Fax: 208-547-2790 |