| Wholesome Health | |
|
3040 E 17th St Ammon ID 83406-6760 | |
| (208) 557-0200 | |
| (208) 542-5080 |
| Full Name | Wholesome Health |
|---|---|
| Speciality | Family Medicine |
| Location | 3040 E 17th St, Ammon, Idaho |
| Authorized Official Name and Position | Laramie Linning Wheeler (OWNER) |
| Authorized Official Contact | 2085893846 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wholesome Health 3040 E 17th St Ammon ID 83406-6760 Ph: (208) 557-0200 | Wholesome Health 3040 E 17th St Ammon ID 83406-6760 Ph: (208) 557-0200 |
| NPI Number | 1942699715 |
|---|---|
| Provider Enumeration Date | 01/17/2015 |
| Last Update Date | 01/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942699715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | O-0426 (Idaho) | Primary |
| 363L00000X | Nurse Practitioner | NP676A (Idaho) | Secondary |
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