| Shelley Family Medical | |
|
210 S Emerson St Shelley ID 83274 | |
| (208) 357-7404 | |
| Not Available |
| Full Name | Shelley Family Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 210 S Emerson St, Shelley, Idaho |
| Authorized Official Name and Position | Sheila Tibbitts (ADMINISTRATOR) |
| Authorized Official Contact | 2087852600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelley Family Medical 210 S Emerson St Shelley ID 83274 Ph: () - | Shelley Family Medical 210 S Emerson St Shelley ID 83274 Ph: (208) 357-7404 |
| NPI Number | 1366542391 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 08/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366542391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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 Family Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 210 S Emerson Ave, Shelley, ID 83274 Phone: 208-357-7404 | |
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 |