| |
914 W Ironwood Dr Ste 202 Coeur D Alene ID 83814-4927 | |
(208) 765-5304 | |
(208) 664-8670 |
Full Name | |
---|---|
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 |
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914 W Ironwood Dr Ste 202 Coeur D Alene ID 83814-4927 Ph: (208) 765-5304 | 914 W Ironwood Dr Ste 202 Coeur D Alene ID 83814-4927 Ph: (208) 765-5304 |
NPI Number | 1831379734 |
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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 |
Ironwood Family Practice, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3815 N Schreiber Way Unit 102, Coeur D Alene, ID 83815 Phone: 208-667-4557 Fax: 208-765-2887 | |
Cinch Health Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6190 N Sunshine St Ste E, Coeur D Alene, ID 83815 Phone: 208-691-4569 | |
Pmr Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 E Sherman Ave Ste 204, Coeur D Alene, ID 83814 Phone: 208-664-6464 | |
Helping Hands Chiropractic And Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 116 W Neider Ave Unit 116, Coeur D Alene, ID 83815 Phone: 208-664-0444 Fax: 208-664-0446 | |
Perpetual Family Medicine Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 Lincoln Way Ste 108, Coeur D Alene, ID 83814 Phone: 949-874-4107 | |
Head Sport Em Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 980 W Ironwood Dr Ste 206, Coeur D Alene, ID 83814 Phone: 208-512-4334 | |