institution
Idaho Falls Clinic, P.a.
Clinic/Center in Idaho Falls, Idaho
NPI 1811932411

Idaho Falls Clinic, P.a. is a Clinic/Center based in Idaho Falls, ID. Idaho Falls Clinic, P.a. practices in Idaho Falls, ID. The NPI Number for Idaho Falls Clinic, P.a. is 1811932411 and holds a License No. (Idaho).

The current practice location address for Idaho Falls Clinic, P.a. is 2001 S Woodruff Ave, Idaho Falls, ID and can be reached out via phone at 208-522-7310 and via fax at 208-524-0559. You can also correspond with Idaho Falls Clinic, P.a. through the mailing address at 2001 S WOODRUFF AVE, IDAHO FALLS, ID - 83404-6374 (mailing address contact number: 208-522-7310).

Location: 2001 S Woodruff Ave, Idaho Falls, ID, 83404-6374
institution
Provider Profile Details
NPI Number
1811932411
Provider Name
Idaho Falls Clinic, P.a.
Credential
Provider Entity Type
Organization
Address
2001 S Woodruff Ave, Idaho Falls, ID, 83404-6374
Phone Number
208-522-7310
Fax Number
208-524-0559
Provider Enumeration Date
06/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P9154 01 ID RR MEDICARE
I843154 01 ID TRICARE
88468 01 ID BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
2001 S Woodruff Ave
City
State
Zip
83404-6374
Phone Number
208-522-7310
Fax Number
208-524-0559
person
Provider Business Mailing Address Details
Address
2001 S Woodruff Ave
City
State
Zip
83404-6374
Phone Number
208-522-7310
Fax Number
208-524-0559
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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