| Sandpoint Family Health Center, Pllc | |
|
606 N 3rd Ave Suite 101 Sandpoint ID 83864-1594 | |
| (208) 263-1435 | |
| (208) 263-4580 |
| Full Name | Sandpoint Family Health Center, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 606 N 3rd Ave, Sandpoint, Idaho |
| Authorized Official Name and Position | Scott R. Dunn (OWNER) |
| Authorized Official Contact | 2082631435 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandpoint Family Health Center, Pllc 606 N 3rd Ave Suite 101 Sandpoint ID 83864-1594 Ph: (208) 263-1435 | Sandpoint Family Health Center, Pllc 606 N 3rd Ave Suite 101 Sandpoint ID 83864-1594 Ph: (208) 263-1435 |
| NPI Number | 1881613321 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 08/19/2015 |
| Medicare PECOS PAC ID | 3779598404 |
|---|---|
| Medicare Enrollment ID | O20060216000034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881613321 | NPI | - | NPPES |
| 002792200 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Idaho) | Primary |
| Provider Name | Jeremy J Waters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760452049 PECOS PAC ID: 8729090121 Enrollment ID: I20060630000080 |
| Provider Name | Kara R Waters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922078260 PECOS PAC ID: 9537171939 Enrollment ID: I20060630000091 |
| Provider Name | Scott R Dunn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952308405 PECOS PAC ID: 0547350225 Enrollment ID: I20100720000965 |
| Provider Name | Daniel Meulenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043217599 PECOS PAC ID: 9830198217 Enrollment ID: I20100811000425 |
| Provider Name | Zachary P Halversen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902169485 PECOS PAC ID: 5890940134 Enrollment ID: I20150828002364 |
| Provider Name | Hannah Raynor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629465695 PECOS PAC ID: 2668768615 Enrollment ID: I20180917001132 |
| Provider Name | Emilie J Kuster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366001406 PECOS PAC ID: 1254669641 Enrollment ID: I20211209000658 |
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Ideal Option, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2101 Pine St, Sandpoint, ID 83864 Phone: 877-522-1275 Fax: 833-888-7145 | |
Sandpoint Super Drug Clinical Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 604 N Fifth Ave, Sandpoint, ID 83864 Phone: 208-263-1408 | |
Internal Medicine Associates, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 102 S Euclid Ave Ste 202, Sandpoint, ID 83864 Phone: 208-263-6876 Fax: 208-263-2033 | |
Halsa, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 S Ella Ave, Sandpoint, ID 83864 Phone: 208-521-4107 Fax: 208-216-7446 | |
Alpine Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1013 Lake St Ste 102, Sandpoint, ID 83864 Phone: 208-597-7910 |