| Rupert Medical Center Partnership | |
|
1218 9th St Ste 7 Rupert ID 83350-2207 | |
| (208) 436-3161 | |
| Not Available |
| Full Name | Rupert Medical Center Partnership |
|---|---|
| Speciality | Family Medicine |
| Location | 1218 9th St Ste 7, Rupert, Idaho |
| Authorized Official Name and Position | Kerry Saurey (OWNER) |
| Authorized Official Contact | 2084364232 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rupert Medical Center Partnership 1218 9th St Ste 7 Rupert ID 83350-2207 Ph: () - | Rupert Medical Center Partnership 1218 9th St Ste 7 Rupert ID 83350-2207 Ph: (208) 436-3161 |
| NPI Number | 1982786232 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 01/06/2015 |
| Medicare PECOS PAC ID | 7810993540 |
|---|---|
| Medicare Enrollment ID | O20061019000491 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982786232 | NPI | - | NPPES |
| 002262800 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Idaho) | Primary |
| Provider Name | Kerry W Saurey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598798282 PECOS PAC ID: 9638175367 Enrollment ID: I20100720000839 |
Minidoka Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1308 8th St, Suite 1, Rupert, ID 83350 Phone: 208-436-4322 Fax: 208-436-1312 | |
Swenson M.d. Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1218 9th St Ste 4, Rupert, ID 83350 Phone: 208-436-4838 Fax: 208-436-1561 |