institution
Pocatello Med Partners Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Chubbuck, Idaho
NPI 1275577025

Pocatello Med Partners Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Chubbuck, ID and is specialized in End-Stage Renal Disease (ESRD) Treatment. Pocatello Med Partners Llc practices in Chubbuck, ID. The NPI Number for Pocatello Med Partners Llc is 1275577025 and holds a License No. (Idaho).

The current practice location address for Pocatello Med Partners Llc is 333 Knudsen Blvd, Chubbuck, ID and can be reached out via phone at 208-776-4732 and via fax at 208-776-4777.

Location: 333 Knudsen Blvd, Chubbuck, ID, 83202-4718
institution
Provider Profile Details
NPI Number
1275577025
Provider Name
Pocatello Med Partners Llc
Credential
Provider Entity Type
Organization
Address
333 Knudsen Blvd, Chubbuck, ID, 83202-4718
Phone Number
208-776-4732
Fax Number
208-776-4777
Provider Enumeration Date
06/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010150841 01 ID BLUE CROSS OF IDAHO
institution
Provider Business Practice Location Address Details
Address
333 Knudsen Blvd
City
State
Zip
83202-4718
Phone Number
208-776-4732
Fax Number
208-776-4777
person
Provider Business Mailing Address Details
Address
333 Knudsen Blvd
City
State
Zip
83202-4718
Phone Number
208-776-4732
Fax Number
208-776-4777
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
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Definition
Definition to come...
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