| Full Name | |
|---|---|
| Speciality | Clinic/center |
| Location | 1675 Curlew Dr, Ammon, Idaho |
| Authorized Official Name and Position | Demi Echi-aboli (BILLING DEPARTMENT DIRECTOR) |
| Authorized Official Contact | 2083601038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 2106 Idaho Falls ID 83403-2106 Ph: (208) 523-5319 | 1675 Curlew Dr Ammon ID 83406-4718 Ph: (208) 523-5319 |
| NPI Number | 1457698565 |
|---|---|
| Provider Enumeration Date | 01/09/2013 |
| Last Update Date | 04/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457698565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Milestone Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1499 Curlew Dr, Ammon, ID 83406 Phone: 208-529-3342 Fax: 208-529-6631 | |
Root Cause Integrative Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1547 S Midway Ave, Suite B, Ammon, ID 83406 Phone: 208-497-0429 Fax: 208-497-0430 | |
Bore Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1498 Midway Ave Ste 2, Ammon, ID 83406 Phone: 208-529-9930 |