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315 E Elm St Ste 100 Caldwell ID 83605-4858 | |
(208) 459-7415 | |
(208) 453-3307 |
Full Name | |
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Speciality | Clinic/Center |
Location | 315 E Elm St Ste 100, Caldwell, Idaho |
Authorized Official Name and Position | Brian Lannie Checketts (CFO) |
Authorized Official Contact | 2083677347 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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3340 E Goldstone Way Meridian ID 83642-1026 Ph: (208) 367-6275 | 315 E Elm St Ste 100 Caldwell ID 83605-4858 Ph: (208) 459-7415 |
NPI Number | 1508198813 |
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Provider Enumeration Date | 02/11/2010 |
Last Update Date | 01/24/2023 |
Medicare PECOS PAC ID | 3476462359 |
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Medicare Enrollment ID | O20100629000232 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508198813 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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