institution
Timberlake Family Medicine
Primary Care Clinic/Center in Athol, Idaho
NPI 1932392933

Timberlake Family Medicine is a Primary Care Clinic/Center based in Athol, ID and is specialized in Primary Care. Timberlake Family Medicine practices in Athol, ID. The NPI Number for Timberlake Family Medicine is 1932392933 and holds a License No. PA303 (Idaho).

The current practice location address for Timberlake Family Medicine is 6101 E Highway 54 Ste A, Athol, ID and can be reached out via phone at 208-683-0800 and via fax at 208-683-0900.

Location: 6101 E Highway 54 Ste A, Athol, ID, 83801-0775
institution
Provider Profile Details
NPI Number
1932392933
Provider Name
Timberlake Family Medicine
Credential
Provider Entity Type
Organization
Address
6101 E Highway 54 Ste A, Athol, ID, 83801-0775
Phone Number
208-683-0800
Fax Number
208-683-0900
Provider Enumeration Date
08/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PAD92 01 BLUE CROSS
000010158675 01 REGENCE
institution
Provider Business Practice Location Address Details
Address
6101 E Highway 54 Ste A
City
State
Zip
83801-8255
Phone Number
208-683-0800
Fax Number
208-683-0900
person
Provider Business Mailing Address Details
Address
6101 E Highway 54 Ste A
City
State
Zip
83801-8255
Phone Number
208-683-0800
Fax Number
208-683-0900
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
PA303 (Idaho)
Definition
Definition to come...
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