Fremont Medical Services Pc in Saint Anthony - Clinic/center
Fremont Medical Services Pc - NPI 1023288172
Fremont Medical Services Pc is a Clinic/center in Saint Anthony, Idaho. Fremont Medical Services Pc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Fremont Medical Services Pc is 1023288172. The last update date is 2011-11-04.
Fremont Medical Services Pc's current location address is 430 N Bridge St, Saint Anthony, Idaho. You can contact this provider via phone number 2086244402 and fax number 2086244409. The mailing address for Fremont Medical Services Pc is 430 N Bridge St, Saint Anthony, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fremont Medical Services Pc |
|---|---|
| Address | 430 N Bridge St, Saint Anthony, Idaho |
| Phone Number | 2086244402 |
| Fax Number | 2086244409 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Cheyne James Stephen |
| Credentials | MD |
| Telephone Number | 2086244402 |
NPI Number Detail
| NPI Number | 1023288172 |
|---|---|
| Provider Enumeration Date | 2008-03-05 |
| Last Updated Date | 2011-11-04 |
Provider Mailing Address Detail
| Address | 430 N Bridge St |
|---|---|
| City | Saint Anthony |
| State | Idaho (ID) |
| Post Code | 834451425 |
| Phone Number | 2086244402 |
| Fax Number | 2086244409 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | M4566 |
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Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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What is the unique provider identifier assigned to Fremont Medical Services Pc?
The Fremont Medical Services Pc has been issued the NPI (National Provider Identifier) 1023288172 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Fremont Medical Services Pc located?
The Fremont Medical Services Pc is located at 430 N Bridge St, Saint Anthony, ID 834451425.
What is Fremont Medical Services Pc's area of expertise and its corresponding taxonomy classification?
The Fremont Medical Services Pc's field of specialization is Clinic/center, and it falls under the taxonomy code 261Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1023288172 to Fremont Medical Services Pc?
The Centers for Medicare & Medicaid Services assigned the 1023288172 to Fremont Medical Services Pc on 2008-03-05.
As of what date were the details related to Fremont Medical Services Pc most recently updated or revised?
The information pertaining to Fremont Medical Services Pc, including its address, specialty, and other relevant details, was last updated or revised on 2011-11-04.