Mountain States Medical Group Pa in Boise - Family Medicine
Mountain States Medical Group Pa - NPI 1730272006
Mountain States Medical Group Pa is a Family Medicine in Boise, Idaho. Mountain States Medical Group Pa practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mountain States Medical Group Pa is 1730272006. The last update date is 2008-09-15.
Mountain States Medical Group Pa's current location address is Po Box 4236, Boise, Idaho. You can contact this provider via phone number 2083782840 and fax number 2083239070. The mailing address for Mountain States Medical Group Pa is Po Box 4236, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mountain States Medical Group Pa |
|---|---|
| Address | Po Box 4236, Boise, Idaho |
| Phone Number | 2083782840 |
| Fax Number | 2083239070 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Mcchrystal Richard |
| Credentials | PA |
| Telephone Number | 2083782840 |
NPI Number Detail
| NPI Number | 1730272006 |
|---|---|
| Provider Enumeration Date | 2006-10-01 |
| Last Updated Date | 2008-09-15 |
Provider Mailing Address Detail
| Address | Po Box 4236 |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837114236 |
| Phone Number | 2083782840 |
| Fax Number | 2083239070 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10017966 | ID | RBSI | |
| 8C196 | ID | BLUE CROSS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mountain States Medical Group Pa by the Centers for Medicare & Medicaid Services?
The Mountain States Medical Group Pa has been assigned the NPI (National Provider Identifier) 1730272006 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Mountain States Medical Group Pa is physically located?
The Mountain States Medical Group Pa is physically situated at the following address: Po Box 4236, Boise, ID, 837114236.
What is the area of specialization for Mountain States Medical Group Pa, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mountain States Medical Group Pa is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did the Mountain States Medical Group Pa receive the assignment of its 1730272006 from the Centers for Medicare & Medicaid Services?
The Mountain States Medical Group Pa was issued its 1730272006 by the Centers for Medicare & Medicaid Services on 2006-10-01.
When was the information regarding Mountain States Medical Group Pa most recently updated?
The details pertaining to the Mountain States Medical Group Pa, including its address, specialty, and other relevant information, were last refreshed on 2008-09-15.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN