Ann Pendleton Beach in Boise - Family Medicine
Ann Pendleton Beach - NPI 1912968892
Ann Pendleton Beach is a Family Medicine in Boise, Idaho. Ann Pendleton Beach practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Ann Pendleton Beach is 1912968892. The last update date is 2011-02-01.
Ann Pendleton Beach's current location address is 777 N Raymond St, Boise, Idaho. You can contact this provider via phone number 2085142500 and fax number 2083227018. The mailing address for Ann Pendleton Beach is 777 N Raymond St, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ann Pendleton Beach |
|---|---|
| Address | 777 N Raymond St, Boise, Idaho |
| Phone Number | 2085142500 |
| Fax Number | 2083227018 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1912968892 |
|---|---|
| Provider Enumeration Date | 2006-03-30 |
| Last Updated Date | 2011-02-01 |
Provider Mailing Address Detail
| Address | 777 N Raymond St |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837049251 |
| Phone Number | 2085142500 |
| Fax Number | 2083227018 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | M7794 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11029901 | ID | MEDICARE PTAN | |
| 805202000 | ID | -- | |
| P00031256 | RAILROAD MEDICARE | ||
| 1102998 | CIGNA MEDICARE | ||
| 1102990 | CIGNA MEDICARE |
Post Comment/ Review Below
What is the Ann Pendleton Beach's 1912968892?
The Ann Pendleton Beach's NPI (National Provider Identifier) Number is 1912968892. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Ann Pendleton Beach's physical address?
The Ann Pendleton Beach is physically located at 777 N Raymond St, in the city of Boise, ID, with the postal code 837049251.
What is the Ann Pendleton Beach's specialty and taxonomy code?
The Ann Pendleton Beach's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
When did Ann Pendleton Beach receive its 1912968892 assignment?
The Ann Pendleton Beach was assigned its 1912968892 on 2006-03-30, which is the date when this unique identifier was issued to the organization.
As of what date were the Ann Pendleton Beach's details last updated?
The information pertaining to the Ann Pendleton Beach, including its address, specialty, and other details, was most recently updated on 2011-02-01.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY