| Omega Health Services | |
|
5985 W State St Boise ID 83703-3039 | |
| (208) 853-0071 | |
| (208) 853-9422 |
| Full Name | Omega Health Services |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 5985 W State St, Boise, Idaho |
| Authorized Official Name and Position | Patrick J Dwyer (MD) |
| Authorized Official Contact | 2088530071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omega Health Services 5985 W State St Boise ID 83703-3039 Ph: (208) 853-0071 | Omega Health Services 5985 W State St Boise ID 83703-3039 Ph: (208) 853-0071 |
| NPI Number | 1922125764 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922125764 | NPI | - | NPPES |
| 1528145893 | Other | ID | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M9186 (Idaho) | Primary |
| 363L00000X | Nurse Practitioner | NP424A (Idaho) | Primary |
| 363L00000X | Nurse Practitioner | NP722A (Idaho) | Primary |
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