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477 Pleasant County Ln Rigby ID 83442-5278 | |
| (208) 359-6900 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 477 Pleasant County Ln, Rigby, Idaho |
| Authorized Official Name and Position | Rachel Gonzales (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2083596900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 130 Rexburg ID 83440-0130 Ph: (208) 359-6700 | 477 Pleasant County Ln Rigby ID 83442-5278 Ph: (208) 359-6900 |
| NPI Number | 1356026280 |
|---|---|
| Provider Enumeration Date | 06/19/2023 |
| Last Update Date | 10/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356026280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
Upper Valley Family Medicine Rhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 530 Rigby Lake Dr, Rigby, ID 83442 Phone: 208-745-5021 Fax: 208-745-5026 | |
Renew 4 Life, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 S 5th W Ste E, Rigby, ID 83442 Phone: 208-745-0467 Fax: 208-745-0409 | |
Kurt E Kracaw Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 426 Farnsworth Way Ste 1, Rigby, ID 83442 Phone: 208-745-9411 Fax: 208-745-9910 |