| Primary Health Medical Group | |
|
1375 N Happy Valley Rd Nampa ID 83687-5280 | |
| (208) 809-2869 | |
| (208) 809-2870 |
| Full Name | Primary Health Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 1375 N Happy Valley Rd, Nampa, Idaho |
| Authorized Official Name and Position | Trisha Nauman (CREDENTIALING) |
| Authorized Official Contact | 2089556522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Health Medical Group 10482 W Carlton Bay Dr Garden City ID 83714-5143 Ph: () - | Primary Health Medical Group 1375 N Happy Valley Rd Nampa ID 83687-5280 Ph: (208) 809-2869 |
| NPI Number | 1457868002 |
|---|---|
| Provider Enumeration Date | 01/04/2018 |
| Last Update Date | 01/04/2018 |
| Medicare PECOS PAC ID | 3971544685 |
|---|---|
| Medicare Enrollment ID | O20180315000722 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457868002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Idaho) | Primary |
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