Xray Ekg | |
486 W 1st Ave Glenns Ferry ID 83623-2701 | |
(208) 366-7416 | |
(208) 366-2595 |
Full Name | Xray Ekg |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 486 W 1st Ave, Glenns Ferry, Idaho |
Authorized Official Name and Position | Mary Ferguson (CEO) |
Authorized Official Contact | 2089667203 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Xray Ekg 120 Desert Sage Way Mountain Home ID 83647-1038 Ph: (208) 696-7203 | Xray Ekg 486 W 1st Ave Glenns Ferry ID 83623-2701 Ph: (208) 366-7416 |
NPI Number | 1427259894 |
---|---|
Provider Enumeration Date | 05/31/2007 |
Last Update Date | 05/14/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427259894 | NPI | - | NPPES |
002550200 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Glenns Ferry Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 486 W 1st Ave, Glenns Ferry, ID 83623 Phone: 208-366-7416 Fax: 208-587-3324 |