Preston Drug Health Services Llc | |
39 N 1st E Preston ID 83263-1325 | |
(208) 852-1563 | |
(208) 852-1268 |
Full Name | Preston Drug Health Services Llc |
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Speciality | Family Medicine |
Location | 39 N 1st E, Preston, Idaho |
Authorized Official Name and Position | Seth Haslam (OWNER) |
Authorized Official Contact | 2088511561 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Preston Drug Health Services Llc 39 N 1st E Preston ID 83263-1325 Ph: (208) 852-1563 | Preston Drug Health Services Llc 39 N 1st E Preston ID 83263-1325 Ph: (208) 852-1563 |
NPI Number | 1275245615 |
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Provider Enumeration Date | 12/16/2022 |
Last Update Date | 11/02/2023 |
Medicare PECOS PAC ID | 7719359660 |
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Medicare Enrollment ID | O20230202002068 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275245615 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Gordon S Bontrager |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780919829 PECOS PAC ID: 4486792769 Enrollment ID: I20201211001838 |
Provider Name | Joel Jones |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194783472 PECOS PAC ID: 7517943327 Enrollment ID: I20230126002891 |
Health West Preston Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 655 S 4th E, Ste 600, Preston, ID 83263 Phone: 208-852-3200 Fax: 208-852-0517 | |
Advanced Dental Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 N 1st E, Preston, ID 83263 Phone: 208-852-0770 Fax: 208-852-3294 | |
Willow Valley Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 47 N 1st E, Preston, ID 83263 Phone: 208-852-2900 Fax: 208-852-3511 | |
Fellows Chiropractic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8 S State St, Preston, ID 83263 Phone: 208-852-2240 | |
Willow Valley Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 47 N 1st E, Preston, ID 83263 Phone: 208-852-0137 Fax: 208-852-3812 | |
Preston Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 N 1st E, Preston, ID 83263 Phone: 208-852-3755 Fax: 208-852-3774 |