Southeastern Idaho Medical Clinics in Malad City - Rural Health
Southeastern Idaho Medical Clinics - NPI 1982738662
Southeastern Idaho Medical Clinics is a Rural Health in Malad City, Idaho. Southeastern Idaho Medical Clinics practices all healthcare services and medical treatments related to Rural Health. The NPI Number for Southeastern Idaho Medical Clinics is 1982738662. The last update date is 2020-08-22.
Southeastern Idaho Medical Clinics's current location address is 2750 S 4100 W, Malad City, Idaho. You can contact this provider via phone number 2087664118 and fax number 2087662342. The mailing address for Southeastern Idaho Medical Clinics is 2750 S 4100 W, Malad City, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeastern Idaho Medical Clinics |
|---|---|
| Address | 2750 S 4100 W, Malad City, Idaho |
| Phone Number | 2087664118 |
| Fax Number | 2087662342 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Johnson Charles Stephen |
| Credentials | D.O. |
| Telephone Number | 2087662267 |
NPI Number Detail
| NPI Number | 1982738662 |
|---|---|
| Provider Enumeration Date | 2007-03-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2750 S 4100 W |
|---|---|
| City | Malad City |
| State | Idaho (ID) |
| Post Code | 832526542 |
| Phone Number | 2087664118 |
| Fax Number | 2087662342 |
Provider's Primary Taxonomy Detail
| Speciality | Rural Health |
|---|---|
| Taxonomy | 261Qr1300X |
| Licence No | 0-41 |
|
Definition: Provides primary care and preventive health services in rural medically underserved areas. |
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Post Comment/ Review Below
What is the unique identifier code issued to Southeastern Idaho Medical Clinics by the Centers for Medicare & Medicaid Services (CMS)?
The Southeastern Idaho Medical Clinics has been assigned the NPI (National Provider Identifier) 1982738662. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Southeastern Idaho Medical Clinics's facilities are situated?
The facilities of Southeastern Idaho Medical Clinics are physically located at the following address: 2750 S 4100 W, Malad City, ID, 832526542.
What is the Southeastern Idaho Medical Clinics's specialty and taxonomy code?
The Southeastern Idaho Medical Clinics's specialty is Rural Health, and the corresponding taxonomy code is 261Qr1300X.
When did Southeastern Idaho Medical Clinics receive its 1982738662 assignment?
The Southeastern Idaho Medical Clinics was assigned its 1982738662 on 2007-03-15, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Southeastern Idaho Medical Clinics last refreshed?
The information related to the Southeastern Idaho Medical Clinics, including its address, specialty, and other relevant details, was last updated on 2020-08-22.