Troy Clinic | |
412 S Main St Troy ID 83871 | |
(208) 835-5550 | |
(208) 835-5554 |
Full Name | Troy Clinic |
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Speciality | Clinic/Center |
Location | 412 S Main St, Troy, Idaho |
Authorized Official Name and Position | Danielle Lynas (CFO) |
Authorized Official Contact | 2088832220 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Troy Clinic Po Box 8007 Moscow ID 83843-0507 Ph: (208) 883-2224 | Troy Clinic 412 S Main St Troy ID 83871 Ph: (208) 835-5550 |
NPI Number | 1477004828 |
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Provider Enumeration Date | 10/20/2016 |
Last Update Date | 07/06/2022 |
Medicare PECOS PAC ID | 4981984390 |
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Medicare Enrollment ID | O20161130002249 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477004828 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | Bryan J Anderson |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1811059264 PECOS PAC ID: 1658393491 Enrollment ID: I20051221000486 |
Provider Name | Gregory P Bauer |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1255496493 PECOS PAC ID: 6901719301 Enrollment ID: I20070831000060 |
Provider Name | Marvin R Kym |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1316932601 PECOS PAC ID: 8123929072 Enrollment ID: I20100915000242 |
Provider Name | John Barclay Brown |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912008095 PECOS PAC ID: 7911194915 Enrollment ID: I20101202001092 |
Provider Name | Fawna S Huffman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356680862 PECOS PAC ID: 6305091653 Enrollment ID: I20130313000019 |
Provider Name | Bryan D Smith |
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Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1548243199 PECOS PAC ID: 3274608542 Enrollment ID: I20140818002510 |
Provider Name | Lee J Hixson |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1952314593 PECOS PAC ID: 7517956337 Enrollment ID: I20160324001906 |
Provider Name | Richard J. Lambert |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1659318798 PECOS PAC ID: 2062404791 Enrollment ID: I20171209000388 |
Provider Name | Pranabh Shrestha |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598085490 PECOS PAC ID: 4587988159 Enrollment ID: I20190628002211 |
Provider Name | Dustin P Gill |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1558681502 PECOS PAC ID: 4587796222 Enrollment ID: I20190725003692 |
Provider Name | Jacob Kent Christensen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407237043 PECOS PAC ID: 4587973268 Enrollment ID: I20191018000276 |
Provider Name | James Lee Hug |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1962015149 PECOS PAC ID: 7618395815 Enrollment ID: I20200921002230 |
Provider Name | Jennifer L Rouse |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710565551 PECOS PAC ID: 7113335415 Enrollment ID: I20210427001540 |
Provider Name | Brian Edward Newell |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1932562980 PECOS PAC ID: 2860745908 Enrollment ID: I20210901002059 |
Provider Name | Christopher Bullard |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306379052 PECOS PAC ID: 4385912294 Enrollment ID: I20210921001203 |
Provider Name | Mark Mitchell Roubidoux |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629685235 PECOS PAC ID: 9638577828 Enrollment ID: I20220209002036 |
Provider Name | Kim Marie Schorer |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1023242302 PECOS PAC ID: 7416094842 Enrollment ID: I20220628002958 |
Provider Name | Sarah Grace Fox Aurich |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083126171 PECOS PAC ID: 6002176005 Enrollment ID: I20220721002023 |
Provider Name | Preetha Rosen |
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Provider Type | Practitioner - Sleep Medicine |
Provider Identifiers | NPI Number: 1487886099 PECOS PAC ID: 9638340813 Enrollment ID: I20220907000424 |
Provider Name | Guy Klein |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1487966842 PECOS PAC ID: 1355659988 Enrollment ID: I20230322000971 |
Provider Name | Russell M Plewinski |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1316909542 PECOS PAC ID: 6608865332 Enrollment ID: I20230519000715 |
Provider Name | Adam James Kappmeyer |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1326603531 PECOS PAC ID: 3870823974 Enrollment ID: I20230808001555 |
Provider Name | Nicholas Brandon Levine |
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Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1023229325 PECOS PAC ID: 8325116734 Enrollment ID: I20231213003697 |
Provider Name | James Ellis |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1386702504 PECOS PAC ID: 9537353586 Enrollment ID: I20240212001856 |
Troy Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 S Main St, Troy, ID 83871 Phone: 208-835-5550 Fax: 208-883-6580 |