| Pivot Health Llc | |
|
808 S Vanguard Way Meridian ID 83642-7552 | |
| (208) 817-2008 | |
| Not Available |
| Full Name | Pivot Health Llc |
|---|---|
| Speciality | General Practice |
| Location | 808 S Vanguard Way, Meridian, Idaho |
| Authorized Official Name and Position | John Thomas Ahlquist (OWNER, MD) |
| Authorized Official Contact | 2086161050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pivot Health Llc Po Box 44595 Boise ID 83711-0595 Ph: () - | Pivot Health Llc 808 S Vanguard Way Meridian ID 83642-7552 Ph: (208) 817-2008 |
| NPI Number | 1417535329 |
|---|---|
| Provider Enumeration Date | 03/31/2021 |
| Last Update Date | 03/31/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417535329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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