| Ridgeview Family Health Inc | |
|
2840 S Meridian Rd Meridian ID 83642-7960 | |
| (208) 593-6393 | |
| (208) 593-6402 |
| Full Name | Ridgeview Family Health Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2840 S Meridian Rd, Meridian, Idaho |
| Authorized Official Name and Position | Erik Richardson (OWNER / DO) |
| Authorized Official Contact | 2085936393 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ridgeview Family Health Inc 2840 S Meridian Rd Meridian ID 83642-7960 Ph: (208) 960-0680 | Ridgeview Family Health Inc 2840 S Meridian Rd Meridian ID 83642-7960 Ph: (208) 593-6393 |
| NPI Number | 1942064522 |
|---|---|
| Provider Enumeration Date | 02/13/2024 |
| Last Update Date | 04/08/2024 |
| Medicare PECOS PAC ID | 3870935893 |
|---|---|
| Medicare Enrollment ID | O20240522002764 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942064522 | NPI | - | NPPES |
| Provider Name | Elaine S Davidson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093705022 PECOS PAC ID: 3870481682 Enrollment ID: I20050902000222 |
| Provider Name | Erik John Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942307640 PECOS PAC ID: 9638357726 Enrollment ID: I20110620000187 |
| Provider Name | Rebecca S Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982029666 PECOS PAC ID: 9436372414 Enrollment ID: I20190306003170 |
| Provider Name | Denise Peruski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043730278 PECOS PAC ID: 6305117656 Enrollment ID: I20200106001290 |
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