institution
Idaho Street Medical Clinic
Rural Health Clinic/Center in Homedale, Idaho
NPI 1063970143

Idaho Street Medical Clinic is a Rural Health Clinic/Center based in Homedale, ID and is specialized in Rural Health. Idaho Street Medical Clinic practices in Homedale, ID. The NPI Number for Idaho Street Medical Clinic is 1063970143 and holds a License No. (Idaho).

The current practice location address for Idaho Street Medical Clinic is 126 Idaho Ave., Homedale, ID and can be reached out via phone at 208-859-4103.

Location: 126 Idaho Ave., Homedale, ID, 83628-0037
institution
Provider Profile Details
NPI Number
1063970143
Provider Name
Idaho Street Medical Clinic
Credential
Provider Entity Type
Organization
Address
126 Idaho Ave., Homedale, ID, 83628-0037
Phone Number
208-859-4103
Fax Number
Provider Enumeration Date
03/07/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
126 Idaho Ave.
City
State
Zip
83628-8362
Phone Number
208-859-4103
Fax Number
person
Provider Business Mailing Address Details
Address
126 Idaho Ave.
City
State
Zip
83628-8362
Phone Number
208-859-4103
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
()
Definition
Definition to come...
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