Payette Lakes Medical Clinic, Pa in Mccall - Primary Care

Payette Lakes Medical Clinic, Pa - NPI 1881725331

Payette Lakes Medical Clinic, Pa is a Primary Care in Mccall, Idaho. Payette Lakes Medical Clinic, Pa practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Payette Lakes Medical Clinic, Pa is 1881725331. The last update date is 2008-03-17.

Payette Lakes Medical Clinic, Pa's current location address is Po Box 1047, Mccall, Idaho. You can contact this provider via phone number 2086342225 and fax number 2086347212. The mailing address for Payette Lakes Medical Clinic, Pa is Po Box 1047, Mccall, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Organization Payette Lakes Medical Clinic, Pa
Address Po Box 1047, Mccall, Idaho
Phone Number 2086342225
Fax Number 2086347212
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VP - PHYSI
Authorized Official Name Bruns R Jacqueline
Telephone Number 2086344061

NPI Number Detail

NPI Number 1881725331
Provider Enumeration Date 2007-03-08
Last Updated Date 2008-03-17

Provider Mailing Address Detail

Address Po Box 1047
City Mccall
State Idaho (ID)
Post Code 836381047
Phone Number 2086342225
Fax Number 2086347212

Provider's Primary Taxonomy Detail

Speciality Primary Care
Taxonomy 261Qp2300X
Definition:
Serves as the first point of contact for comprehensive healthcare services.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8G122 ID BC
10139844 ID BS

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FAQs about Payette Lakes Medical Clinic, Pa

What is the unique identification code assigned to Payette Lakes Medical Clinic, Pa by the Centers for Medicare & Medicaid Services?

The Payette Lakes Medical Clinic, Pa has been issued the NPI (National Provider Identifier) 1881725331. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Payette Lakes Medical Clinic, Pa's facilities are situated?

The facilities of Payette Lakes Medical Clinic, Pa are physically located at the following address: Po Box 1047, Mccall, ID, 836381047.

What is Payette Lakes Medical Clinic, Pa's specialized field of practice, and what is the corresponding taxonomy classification code?

The Payette Lakes Medical Clinic, Pa's area of specialization is Primary Care, and the corresponding taxonomy code that categorizes this field of practice is 261Qp2300X.

On what date was the 1881725331 assigned to Payette Lakes Medical Clinic, Pa?

The Payette Lakes Medical Clinic, Pa was issued its 1881725331 on 2007-03-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Payette Lakes Medical Clinic, Pa's details last updated?

The information pertaining to the Payette Lakes Medical Clinic, Pa, including its address, specialty, and other details, was most recently updated on 2008-03-17.

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