institution
Payette Lakes Medical Clinic, Pa
Primary Care Clinic/Center in New Meadows, Idaho
NPI 1922139468

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 New Meadows, ID. The NPI Number for Payette Lakes Medical Clinic, Pa is 1922139468 and holds a License No. (Idaho).

The current practice location address for Payette Lakes Medical Clinic, Pa is 320 Virginia Avenue, New Meadows, ID and can be reached out via phone at 208-347-2146 and via fax at 208-347-2147.

Location: 320 Virginia Avenue, New Meadows, ID, 83638-1047
institution
Provider Profile Details
NPI Number
1922139468
Provider Name
Payette Lakes Medical Clinic, Pa
Credential
Provider Entity Type
Organization
Address
320 Virginia Avenue, New Meadows, ID, 83638-1047
Phone Number
208-347-2146
Fax Number
208-347-2147
Provider Enumeration Date
03/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010006721 01 ID BS
28340 01 ID BC
institution
Provider Business Practice Location Address Details
Address
320 Virginia Avenue
City
State
Zip
83654
Phone Number
208-347-2146
Fax Number
208-347-2147
person
Provider Business Mailing Address Details
Address
320 Virginia Avenue
City
State
Zip
83654
Phone Number
208-347-2146
Fax Number
208-347-2147
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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