institution
Idaho Street Medical Clinic
Health Service Clinic/Center in Homedale, Idaho
NPI 1023639622

Idaho Street Medical Clinic is a Health Service Clinic/Center based in Parma, ID and is specialized in Health Service. Idaho Street Medical Clinic practices in Homedale, ID. The NPI Number for Idaho Street Medical Clinic is 1023639622 and holds a License No. (Idaho).

The current practice location address for Idaho Street Medical Clinic is 126 W. Idaho Ave, Homedale, ID and can be reached out via phone at 208-337-7038 and via fax at 208-337-4652.

Location: 126 W. Idaho Ave, Homedale, ID, 83660-6723
institution
Provider Profile Details
NPI Number
1023639622
Provider Name
Idaho Street Medical Clinic
Credential
Provider Entity Type
Organization
Address
126 W. Idaho Ave, Homedale, ID, 83660-6723
Phone Number
208-337-7038
Fax Number
208-337-4652
Provider Enumeration Date
05/05/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
126 W. Idaho Ave
City
State
Zip
83628-8362
Phone Number
208-337-7038
Fax Number
208-337-4652
person
Provider Business Mailing Address Details
Address
126 W. Idaho Ave
City
State
Zip
83628-8362
Phone Number
208-337-7038
Fax Number
208-337-4652
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
()
Definition
Definition to come...
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