| |
119 N Wardwell Ave Emmett ID 83617-3040 | |
(208) 365-6311 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 119 N Wardwell Ave, Emmett, Idaho |
Authorized Official Name and Position | Becky Malaxechebarria (BUSINESS OFFICE MANAGER) |
Authorized Official Contact | 2089013204 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1202 E Locust St Emmett ID 83617-2715 Ph: () - | 119 N Wardwell Ave Emmett ID 83617-3040 Ph: (208) 365-6311 |
NPI Number | 1295193423 |
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Provider Enumeration Date | 02/02/2016 |
Last Update Date | 04/18/2016 |
Identifier | Type | State | Issuer |
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1295193423 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
The Smith Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 N Wardwell Ave, Emmett, ID 83617 Phone: 208-365-6311 | |
Gem Family Practice, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1108 S Washington Ave, Emmett, ID 83617 Phone: 208-365-3455 Fax: 208-365-3422 | |