Rural Health Clinic | |
220 Bannock St Malad City ID 83252-5068 | |
(208) 766-2600 | |
(208) 766-4258 |
Full Name | Rural Health Clinic |
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Speciality | Clinic/Center |
Location | 220 Bannock St, Malad City, Idaho |
Authorized Official Name and Position | Cindy Howard (CFO) |
Authorized Official Contact | 2087665355 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rural Health Clinic 220 Bannock St Malad City ID 83252-5068 Ph: (208) 766-2600 | Rural Health Clinic 220 Bannock St Malad City ID 83252-5068 Ph: (208) 766-2600 |
NPI Number | 1225276454 |
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Provider Enumeration Date | 01/26/2009 |
Last Update Date | 06/03/2010 |
Medicare PECOS PAC ID | 3476459108 |
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Medicare Enrollment ID | O20031211000830 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225276454 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | O-41 (Idaho) | Primary |
Provider Name | William B Speakman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821034562 PECOS PAC ID: 3577542752 Enrollment ID: I20040720000727 |
Provider Name | Robert D Hodson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265482905 PECOS PAC ID: 6305859760 Enrollment ID: I20060801000322 |
Provider Name | Misty M Martinsen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467685511 PECOS PAC ID: 7517007842 Enrollment ID: I20091217000596 |
Provider Name | James Pickett |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275735045 PECOS PAC ID: 8426109240 Enrollment ID: I20150213001352 |
Provider Name | David Teeples |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003179706 PECOS PAC ID: 2264663178 Enrollment ID: I20150901001935 |
Provider Name | Tyson Daniels |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1487189163 PECOS PAC ID: 3870860372 Enrollment ID: I20170605002893 |
Provider Name | Nadim B Bikhazi |
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Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1588651152 PECOS PAC ID: 7517866916 Enrollment ID: I20200715002179 |
Provider Name | Paul Bikhazi |
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Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1427141944 PECOS PAC ID: 9133263718 Enrollment ID: I20200715002226 |
Provider Name | Layne S Barnes |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265424741 PECOS PAC ID: 2860486610 Enrollment ID: I20220210001944 |
Provider Name | Catherine Harmston |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639283302 PECOS PAC ID: 6002818663 Enrollment ID: I20230913001274 |
Oneida County Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 220 Bannock St, Malad City, ID 83252 Phone: 208-766-2600 Fax: 208-766-4258 | |
Malad Valley Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 W 200 N, Malad City, ID 83252 Phone: 208-766-2267 Fax: 208-766-2342 |