North Canyon Buhl Clinic | |
718 Hwy 30 Buhl ID 83316 | |
(208) 934-4433 | |
(208) 934-4442 |
Full Name | North Canyon Buhl Clinic |
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Speciality | Clinic/Center |
Location | 718 Hwy 30, Buhl, Idaho |
Authorized Official Name and Position | Toni Lee (CLINIC MANAGER) |
Authorized Official Contact | 2089344446 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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North Canyon Buhl Clinic 718 Hwy 30 Buhl ID 83316 Ph: () - | North Canyon Buhl Clinic 718 Hwy 30 Buhl ID 83316 Ph: (208) 934-4433 |
NPI Number | 1568950566 |
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Provider Enumeration Date | 04/25/2018 |
Last Update Date | 04/25/2018 |
Medicare PECOS PAC ID | 0941371439 |
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Medicare Enrollment ID | O20181226000513 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568950566 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Dana L Nofziger Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 709 Fair St, Buhl, ID 83316 Phone: 208-543-8237 Fax: 208-543-8238 |