| Patriot Healthcare Family Ad Urgent Care | |
|
144 Oasis Dr Pocatello ID 83204-4826 | |
| (208) 541-0920 | |
| Not Available |
| Full Name | Patriot Healthcare Family Ad Urgent Care |
|---|---|
| Speciality | Clinic/center |
| Location | 144 Oasis Dr, Pocatello, Idaho |
| Authorized Official Name and Position | Kenneth Ray Lowther (MEDICAL DIRECTOR/CEO) |
| Authorized Official Contact | 2085410920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patriot Healthcare Family Ad Urgent Care 144 Oasis Dr Pocatello ID 83204-4826 Ph: (208) 541-0920 | Patriot Healthcare Family Ad Urgent Care 144 Oasis Dr Pocatello ID 83204-4826 Ph: (208) 541-0920 |
| NPI Number | 1376083568 |
|---|---|
| Provider Enumeration Date | 03/07/2017 |
| Last Update Date | 03/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376083568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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