| Twin Gables Family Health | |
|
914 W Ironwood Dr Ste 202 Coeur D Alene ID 83814-4927 | |
| (208) 765-5304 | |
| (208) 664-8670 |
| Full Name | Twin Gables Family Health |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 914 W Ironwood Dr Ste 202, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Stuart Denny (OWNER) |
| Authorized Official Contact | 2087655304 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Twin Gables Family Health 914 W Ironwood Dr Ste 202 Coeur D Alene ID 83814-4927 Ph: (208) 765-5304 | Twin Gables Family Health 914 W Ironwood Dr Ste 202 Coeur D Alene ID 83814-4927 Ph: (208) 765-5304 |
| NPI Number | 1831379734 |
|---|---|
| Provider Enumeration Date | 11/07/2007 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831379734 | NPI | - | NPPES |
| 000010006394 | Other | REGENCE BLUE SHIELD | |
| 002560500 | Medicaid | ID | |
| 88609 | Other | ID | BLUE CROSS OF IDAHO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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