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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.

Location: 2001 S Woodruff Ave, Idaho Falls, ID, 83404-6374
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Idaho Falls
State
Idaho
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
Idaho Falls
State
Idaho
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
261Q00000X
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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