institution
Payette Lakes Medical Clinic, Pa
Primary Care Clinic/Center in Council, Idaho
NPI 1881725331

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 Council, ID. The NPI Number for Payette Lakes Medical Clinic, Pa is 1881725331 and holds a License No. (Idaho).

The current practice location address for Payette Lakes Medical Clinic, Pa is 101 Council Avenue, Council, ID and can be reached out via phone at 208-253-4915 and via fax at 208-253-4917.

Location: 101 Council Avenue, Council, ID, 83638-1047
institution
Provider Profile Details
NPI Number
1881725331
Provider Name
Payette Lakes Medical Clinic, Pa
Credential
Provider Entity Type
Organization
Address
101 Council Avenue, Council, ID, 83638-1047
Phone Number
208-253-4915
Fax Number
208-253-4917
Provider Enumeration Date
03/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8G122 01 ID BC
000010139844 01 ID BS
institution
Provider Business Practice Location Address Details
Address
101 Council Avenue
City
State
Zip
83612
Phone Number
208-253-4915
Fax Number
208-253-4917
person
Provider Business Mailing Address Details
Address
101 Council Avenue
City
State
Zip
83612
Phone Number
208-253-4915
Fax Number
208-253-4917
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
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