State Of Idaho is a Family Medicine in Nampa, Idaho. State Of Idaho practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for State Of Idaho is 1265558019. The last update date is 2020-08-22.
State Of Idaho's current location address is 1660 11th Ave N, Nampa, Idaho. You can contact this provider via phone number 2084422812 and fax number 2084675978. The mailing address for State Of Idaho is 1660 11th Ave N, Nampa, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State Of Idaho |
|---|---|
| Address | 1660 11th Ave N, Nampa, Idaho |
| Phone Number | 2084422812 |
| Fax Number | 2084675978 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Broetje Sue |
| Telephone Number | 2084422812 |
NPI Number Detail
| NPI Number | 1265558019 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1660 11th Ave N |
|---|---|
| City | Nampa |
| State | Idaho (ID) |
| Post Code | 836875000 |
| Phone Number | 2084422812 |
| Fax Number | 2084675978 |
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 |
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Post Comment/ Review Below
What is the State Of Idaho's 1265558019?
The State Of Idaho's NPI (National Provider Identifier) Number is 1265558019. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of State Of Idaho?
The State Of Idaho is physically situated at 1660 11Th Ave N, in the city of Nampa, state of ID, with the postal code 836875000.
What is State Of Idaho's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The State Of Idaho's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date was the 1265558019 assigned to State Of Idaho?
The State Of Idaho was issued its 1265558019 on 2007-03-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to State Of Idaho most recently updated or refreshed?
The details pertaining to the State Of Idaho, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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