| The Healing Sanctuary Llc | |
|
187 E 13th St Idaho Falls ID 83404-5305 | |
| (208) 497-0500 | |
| (208) 497-0505 |
| Full Name | The Healing Sanctuary Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 187 E 13th St, Idaho Falls, Idaho |
| Authorized Official Name and Position | Becky Watson (BILLING SUPERVISOR) |
| Authorized Official Contact | 2084970500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Healing Sanctuary Llc 187 E 13th St Idaho Falls ID 83404-5305 Ph: (208) 497-0500 | The Healing Sanctuary Llc 187 E 13th St Idaho Falls ID 83404-5305 Ph: (208) 497-0500 |
| NPI Number | 1346799483 |
|---|---|
| Provider Enumeration Date | 09/30/2016 |
| Last Update Date | 12/19/2023 |
| Medicare PECOS PAC ID | 7214217496 |
|---|---|
| Medicare Enrollment ID | O20161205001370 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346799483 | NPI | - | NPPES |
| Provider Name | Jeffrey B Baker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275603193 PECOS PAC ID: 3779564307 Enrollment ID: I20041018000210 |
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