Quik-med Health Clinic Pllc | |
104 E 4th Ave Clark Fork ID 83811 | |
(208) 946-5100 | |
Not Available |
Full Name | Quik-med Health Clinic Pllc |
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Speciality | Clinic/center |
Location | 104 E 4th Ave, Clark Fork, Idaho |
Authorized Official Name and Position | Betty Anne Gilley (RN) |
Authorized Official Contact | 2089465100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Quik-med Health Clinic Pllc Po Box 567 Clark Fork ID 83811-0567 Ph: (208) 946-5100 | Quik-med Health Clinic Pllc 104 E 4th Ave Clark Fork ID 83811 Ph: (208) 946-5100 |
NPI Number | 1336526771 |
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Provider Enumeration Date | 05/06/2015 |
Last Update Date | 11/02/2015 |
Identifier | Type | State | Issuer |
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1336526771 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |