| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 47 N 1st E, Preston, Idaho |
| Authorized Official Name and Position | Nichole Noyes (CLINIC MANAGER) |
| Authorized Official Contact | 2088522900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
47 N 1st E Preston ID 83263-1325 Ph: (208) 852-2900 | 47 N 1st E Preston ID 83263-1325 Ph: (208) 852-2900 |
| NPI Number | 1093056475 |
|---|---|
| Provider Enumeration Date | 03/08/2013 |
| Last Update Date | 03/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093056475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
Fellows Chiropractic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8 S State St, Preston, ID 83263 Phone: 208-852-2240 | |
Preston Drug Health Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 39 N 1st E, Preston, ID 83263 Phone: 208-852-1563 Fax: 208-852-1268 | |
Preston Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 N 1st E, Preston, ID 83263 Phone: 208-852-3755 Fax: 208-852-3774 |