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Payette Lakes Medical Clinic, Pa
Primary Care Clinic/Center in Mccall, Idaho
NPI 1255462263

Payette Lakes Medical Clinic, Pa is a Primary Care Clinic/Center based in Mccall, ID and is specialized in Primary Care. Payette Lakes Medical Clinic, Pa practices in Mccall, ID. The NPI Number for Payette Lakes Medical Clinic, Pa is 1255462263 and holds a License No. (Idaho).

The current practice location address for Payette Lakes Medical Clinic, Pa is 211 Forest Street, Mccall, ID and can be reached out via phone at 208-634-2225 and via fax at 208-634-7212.

Location: 211 Forest Street, Mccall, ID, 83638-1047
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255462263
Provider Name
Payette Lakes Medical Clinic, Pa
Credential
Provider Entity Type
Organization
Address
211 Forest Street, Mccall, ID, 83638-1047
Phone Number
208-634-2225
Fax Number
208-634-7212
Provider Enumeration Date
03/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8934-2 01 ID BLUE CROSS
000010006343 01 ID BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
211 Forest Street
City
Mccall
State
Idaho
Zip
83638
Phone Number
208-634-2225
Fax Number
208-634-7212
person
Provider Business Mailing Address Details
Address
211 Forest Street
City
Mccall
State
Idaho
Zip
83638
Phone Number
208-634-2225
Fax Number
208-634-7212
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
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Definition
Definition to come...
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