| West Valley Professional Fee Billing, Llc | |
|
1717 Arlington Ave Caldwell ID 83605-4802 | |
| (208) 455-3707 | |
| Not Available |
| Full Name | West Valley Professional Fee Billing, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1717 Arlington Ave, Caldwell, Idaho |
| Authorized Official Name and Position | Kathy Moore (CEO) |
| Authorized Official Contact | 2084593718 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Valley Professional Fee Billing, Llc Po Box 404091 Atlanta GA 30384-4091 Ph: () - | West Valley Professional Fee Billing, Llc 1717 Arlington Ave Caldwell ID 83605-4802 Ph: (208) 455-3707 |
| NPI Number | 1972545762 |
|---|---|
| Provider Enumeration Date | 06/13/2006 |
| Last Update Date | 08/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972545762 | NPI | - | NPPES |
| 806827000 | Medicaid | ID | |
| 80626800 | Medicaid | ID | |
| 806826900 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Idaho) | Secondary |
| 207R00000X | Internal Medicine | (Idaho) | Primary |
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
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