| Shelley Family Medical Center | |
|
210 S Emerson Ave Shelley ID 83274-1229 | |
| (208) 357-7404 | |
| Not Available |
| Full Name | Shelley Family Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 210 S Emerson Ave, Shelley, Idaho |
| Authorized Official Name and Position | Ned Hillyard (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 2085572711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelley Family Medical Center 210 S Emerson Ave Shelley ID 83274-1229 Ph: (208) 357-7404 | Shelley Family Medical Center 210 S Emerson Ave Shelley ID 83274-1229 Ph: (208) 357-7404 |
| NPI Number | 1700206588 |
|---|---|
| Provider Enumeration Date | 04/21/2014 |
| Last Update Date | 04/21/2016 |
| Medicare PECOS PAC ID | 2961791991 |
|---|---|
| Medicare Enrollment ID | O20160516000496 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700206588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Shelley Family Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 S Emerson St, Shelley, ID 83274 Phone: 208-357-7404 | |
Physicians And Surgeons Of Shelley Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 275 W Locust St, Shelley, ID 83274 Phone: 208-782-2960 | |
Bingham Memorial Physicians And Surgeons Clinic Of Shelley Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 W Locust St, Shelley, ID 83274 Phone: 208-785-4100 | |
Shelley Chiropractic, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 528 N State St, Shelley, ID 83274 Phone: 208-357-0333 Fax: 208-357-2299 |