| Malad Valley Clinic | |
|
230 W 200 N Malad City ID 83252-1109 | |
| (208) 766-2267 | |
| (208) 766-2342 |
| Full Name | Malad Valley Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 230 W 200 N, Malad City, Idaho |
| Authorized Official Name and Position | Stephen Charles Johnson (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2087662267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Malad Valley Clinic 2750 S 4100 W Malad City ID 83252-6542 Ph: (208) 766-4118 | Malad Valley Clinic 230 W 200 N Malad City ID 83252-1109 Ph: (208) 766-2267 |
| NPI Number | 1982738662 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982738662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0-41 (Idaho) | Primary |
| 261QR1300X | Clinic/center - Rural Health | 0-41 (Idaho) | Primary |
Rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 220 Bannock St, Malad City, ID 83252 Phone: 208-766-2600 Fax: 208-766-4258 | |
Oneida County Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 220 Bannock St, Malad City, ID 83252 Phone: 208-766-2600 Fax: 208-766-4258 |