River Horse Medical Clinic, Pllc | |
500 2nd Avenue Jennifer Grinage Deary ID 83823 | |
(208) 792-1011 | |
Not Available |
Full Name | River Horse Medical Clinic, Pllc |
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Speciality | Clinic/center - Primary Care |
Location | 500 2nd Avenue, Deary, Idaho |
Authorized Official Name and Position | Jennifer Grinage (OWNER/CEO) |
Authorized Official Contact | 2087921011 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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River Horse Medical Clinic, Pllc 1613 Idaho St Lewiston ID 83501-9998 Ph: (208) 792-1011 | River Horse Medical Clinic, Pllc 500 2nd Avenue Jennifer Grinage Deary ID 83823 Ph: (208) 792-1011 |
NPI Number | 1144057852 |
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Provider Enumeration Date | 09/17/2024 |
Last Update Date | 11/03/2024 |
Identifier | Type | State | Issuer |
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1144057852 | NPI | - | NPPES |
1396151395 | Other | PROVIDER NPI |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |