institution
Idaho Physicians Clinic
Rural Health Clinic/Center in Blackfoot, Idaho
NPI 1114907532

Idaho Physicians Clinic is a Rural Health Clinic/Center based in Blackfoot, ID and is specialized in Rural Health. Idaho Physicians Clinic practices in Blackfoot, ID. The NPI Number for Idaho Physicians Clinic is 1114907532 and holds a License No. 36 (Idaho).

The current practice location address for Idaho Physicians Clinic is 98 Poplar St, Blackfoot, ID and can be reached out via phone at 208-785-3800.

Location: 98 Poplar St, Blackfoot, ID, 83221-1758
institution
Provider Profile Details
NPI Number
1114907532
Provider Name
Idaho Physicians Clinic
Credential
Provider Entity Type
Organization
Address
98 Poplar St, Blackfoot, ID, 83221-1758
Phone Number
208-785-3800
Fax Number
Provider Enumeration Date
01/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8F496 01 ID BLUE CROSS PROVIDER #
000010137702 01 ID BLUE SHIELD PROVIDER #
institution
Provider Business Practice Location Address Details
Address
98 Poplar St
City
State
Zip
83221-1758
Phone Number
208-785-3800
Fax Number
person
Provider Business Mailing Address Details
Address
98 Poplar St
City
State
Zip
83221-1758
Phone Number
208-785-3800
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
36 (Idaho)
Definition
Definition to come...
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