| Sandpoint Family Medicine & Urgent Care | |
|
302 S 1st Ave Sandpoint ID 83864-1258 | |
| (208) 263-5109 | |
| (208) 263-5112 |
| Full Name | Sandpoint Family Medicine & Urgent Care |
|---|---|
| Speciality | Family Medicine |
| Location | 302 S 1st Ave, Sandpoint, Idaho |
| Authorized Official Name and Position | Robert Edward Rust (PRESIDENT) |
| Authorized Official Contact | 2082635109 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandpoint Family Medicine & Urgent Care 302 S 1st Ave Sandpoint ID 83864-1258 Ph: (208) 263-5109 | Sandpoint Family Medicine & Urgent Care 302 S 1st Ave Sandpoint ID 83864-1258 Ph: (208) 263-5109 |
| NPI Number | 1740493832 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 02/27/2020 |
| Medicare PECOS PAC ID | 5395658967 |
|---|---|
| Medicare Enrollment ID | O20031110000494 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740493832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mark A Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457416224 PECOS PAC ID: 7911810593 Enrollment ID: I20100607000133 |
| Provider Name | Kathryn C Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114082906 PECOS PAC ID: 4981734696 Enrollment ID: I20100607000473 |
| Provider Name | Brett Oconnor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518243716 PECOS PAC ID: 2769630441 Enrollment ID: I20120921000493 |
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Bonner Partners In Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1020 Michigan St, Sandpoint, ID 83864 Phone: 208-255-9099 Fax: 208-263-6963 | |
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 |