| Reach Primary Care Llc | |
|
141 N Palmetto Ave Unit 326 Eagle ID 83616-8014 | |
| (435) 538-3713 | |
| Not Available |
| Full Name | Reach Primary Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 141 N Palmetto Ave Unit 326, Eagle, Idaho |
| Authorized Official Name and Position | Thao T Nelson (OWNER) |
| Authorized Official Contact | 4355383713 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reach Primary Care Llc 141 N Palmetto Ave Unit 326 Eagle ID 83616-8014 Ph: (435) 538-3713 | Reach Primary Care Llc 141 N Palmetto Ave Unit 326 Eagle ID 83616-8014 Ph: (435) 538-3713 |
| NPI Number | 1740946870 |
|---|---|
| Provider Enumeration Date | 11/12/2021 |
| Last Update Date | 11/12/2021 |
| Medicare PECOS PAC ID | 0446645162 |
|---|---|
| Medicare Enrollment ID | O20220316001556 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740946870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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