| North Idaho Internal Medicine | |
|
1589 Perkins Lake Rd Moyie Springs ID 83845-5103 | |
| (760) 382-4281 | |
| Not Available |
| Full Name | North Idaho Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 1589 Perkins Lake Rd, Moyie Springs, Idaho |
| Authorized Official Name and Position | Riley Mae Diehl (OWNER) |
| Authorized Official Contact | 7603824281 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Idaho Internal Medicine Po Box 652 Moyie Springs ID 83845-0652 Ph: () - | North Idaho Internal Medicine 1589 Perkins Lake Rd Moyie Springs ID 83845-5103 Ph: (760) 382-4281 |
| NPI Number | 1184347445 |
|---|---|
| Provider Enumeration Date | 09/21/2022 |
| Last Update Date | 09/21/2022 |
| Medicare PECOS PAC ID | 6305215617 |
|---|---|
| Medicare Enrollment ID | O20230511003404 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184347445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Riley M Diehl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063974871 PECOS PAC ID: 7911235445 Enrollment ID: I20220615001386 |
Boundary Medicine & Wellness, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7820 Old Highway Two Loop, Moyie Springs, ID 83845 Phone: 208-304-6401 |