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651 Memorial Dr Pocatello ID 83201-4071 | |
(208) 239-2110 | |
(208) 239-2145 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 651 Memorial Dr, Pocatello, Idaho |
Authorized Official Name and Position | John Abreu (CFO) |
Authorized Official Contact | 2082392110 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 4168 Pocatello ID 83205-4168 Ph: (208) 239-2110 | 651 Memorial Dr Pocatello ID 83201-4071 Ph: (208) 239-2110 |
NPI Number | 1124355813 |
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Provider Enumeration Date | 11/17/2009 |
Last Update Date | 03/02/2010 |
Identifier | Type | State | Issuer |
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1124355813 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (Idaho) | Primary |
Community Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1595 Yellowstone Ave, Pocatello, ID 83201 Phone: 208-233-0032 | |
Health West, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1001 N 7th Ave Ste 135, Pocatello, ID 83201 Phone: 208-232-7862 | |
Health West, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 955 W Alameda Rd, Pocatello, ID 83201 Phone: 208-237-2233 | |
Mountain View Family Medicine, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2006 Birdie Thompson Dr, Pocatello, ID 83201 Phone: 208-232-1132 Fax: 208-232-1134 |