White Cloud Wellness | |
431 E. Main St. #994 Challis ID 83226 | |
(208) 833-1313 | |
(833) 839-1195 |
Full Name | White Cloud Wellness |
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Speciality | Family Medicine |
Location | 431 E. Main St., Challis, Idaho |
Authorized Official Name and Position | Joseph Petrie (OWNER) |
Authorized Official Contact | 2088331313 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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White Cloud Wellness 431 E. Main St. #994 Challis ID 83226 Ph: (208) 833-1313 | White Cloud Wellness 431 E. Main St. #994 Challis ID 83226 Ph: (208) 833-1313 |
NPI Number | 1396290953 |
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Provider Enumeration Date | 08/23/2016 |
Last Update Date | 06/26/2024 |
Medicare PECOS PAC ID | 9537442959 |
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Medicare Enrollment ID | O20170209001802 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396290953 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
Challis Area Health Center Incorporated Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 Clinic Rd, Challis, ID 83226 Phone: 208-879-4351 Fax: 208-879-5216 |