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Southfork Healthcare
Primary Care Clinic/Center in Swan Valley, Idaho
NPI 1134462856

Southfork Healthcare is a Primary Care Clinic/Center based in Swan Valley, ID and is specialized in Primary Care. Southfork Healthcare practices in Swan Valley, ID. The NPI Number for Southfork Healthcare is 1134462856 and holds a License No. (Idaho).

The current practice location address for Southfork Healthcare is 166 Elk Path, Swan Valley, ID and can be reached out via phone at 208-360-1997.

Location: 166 Elk Path, Swan Valley, ID, 83449-0101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134462856
Provider Name
Southfork Healthcare
Credential
Provider Entity Type
Organization
Address
166 Elk Path, Swan Valley, ID, 83449-0101
Phone Number
208-360-1997
Fax Number
Provider Enumeration Date
04/01/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
166 Elk Path
City
Swan Valley
State
Idaho
Zip
83449-0101
Phone Number
208-360-1997
Fax Number
person
Provider Business Mailing Address Details
Address
166 Elk Path
City
Swan Valley
State
Idaho
Zip
83449-0101
Phone Number
208-360-1997
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
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