<unavail> in Emmett, ID - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Emmett, Idaho. The current practice location for is 1102 E Locust St, Emmett, Idaho. For appointments, you can reach them via phone at (208) 365-6004. The mailing address for is 1102 E Locust St, Emmett, Idaho and phone number is (208) 365-6004.

is licensed to practice in Idaho (license number 13-8525). The clinic also participates in the medicare program and its NPI number is 1821091083. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (208) 365-6004.

Contact Information


	1102 E Locust St Emmett ID 83617-2713
	(208) 365-6004
	(208) 365-3589

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1102 E Locust St, Emmett, Idaho
Authorized Official Name and Position	Brad Turpen (CEO)
Authorized Official Contact	2089993870
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1102 E Locust St Emmett ID 83617-2713 Ph: (208) 365-6004	1102 E Locust St Emmett ID 83617-2713 Ph: (208) 365-6004

NPI Details:

NPI Number	1821091083
Provider Enumeration Date	05/23/2005
Last Update Date	11/30/2019

Medicare PECOS Information:

Medicare PECOS PAC ID	7012907785
Medicare Enrollment ID	O20160617000571

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821091083	NPI	-	NPPES
13-8525	Other	ID	RURAL HEALTH CLINIC PTAN
8E001	Other	ID	BLUE CROSS OF IDAHO GROUP
805187500	Medicaid	ID
138525	Other		UNSPECIFIED
002563400	Medicaid	ID
002563800	Medicaid	ID
138525	Other	ID	MEDICARE PTAN
806367900	Medicaid	ID
807437800	Medicaid	ID
000010006204	Other	ID	REGENCE BLUE SH OF ID GRP
000269700	Medicaid	ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QR1300X	Clinic/center - Rural Health	13-8525 (Idaho)	Primary

Reviews and Comments

Clinic/Center in Emmett, ID

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Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 S Johns Ave, Emmett, ID 83617 Phone: 208-343-2737 Fax: 208-342-3238
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2001 E Quail Run Rd, Emmett, ID 83617 Phone: 208-365-7131 Fax: 208-365-4464

- Medicare Primary Care in Emmett, ID