Idaho Minor Emergency And Family Practice Pa in Meridian - Clinic/center
Idaho Minor Emergency And Family Practice Pa - NPI 1205996063
Idaho Minor Emergency And Family Practice Pa is a Clinic/center in Meridian, Idaho. Idaho Minor Emergency And Family Practice Pa practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Idaho Minor Emergency And Family Practice Pa is 1205996063. The last update date is 2013-03-27.
Idaho Minor Emergency And Family Practice Pa's current location address is 3041 East Copper Pointe Drive, Meridian, Idaho. You can contact this provider via phone number 2085144400 and fax number 2085144404. The mailing address for Idaho Minor Emergency And Family Practice Pa is 3041 East Copper Pointe Drive, Meridian, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Idaho Minor Emergency And Family Practice Pa |
|---|---|
| Address | 3041 East Copper Pointe Drive, Meridian, Idaho |
| Phone Number | 2085144400 |
| Fax Number | 2085144404 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER, CEO |
|---|---|
| Authorized Official Name | Hooft Paul Raymond |
| Credentials | M.D. |
| Telephone Number | 2085144400 |
NPI Number Detail
| NPI Number | 1205996063 |
|---|---|
| Provider Enumeration Date | 2006-12-11 |
| Last Updated Date | 2013-03-27 |
Provider Mailing Address Detail
| Address | 3041 East Copper Pointe Drive |
|---|---|
| City | Meridian |
| State | Idaho (ID) |
| Post Code | 83642 |
| Phone Number | 2085144400 |
| Fax Number | 2085144404 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 13D1049440 | ID | CLIA NUMBER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Idaho Minor Emergency And Family Practice Pa?
The Idaho Minor Emergency And Family Practice Pa has been issued the NPI (National Provider Identifier) 1205996063 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Idaho Minor Emergency And Family Practice Pa's physical address?
The Idaho Minor Emergency And Family Practice Pa is physically located at 3041 East Copper Pointe Drive, in the city of Meridian, ID, with the postal code 83642.
What is the area of specialization for Idaho Minor Emergency And Family Practice Pa, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Idaho Minor Emergency And Family Practice Pa is Clinic/center, and the corresponding taxonomy code that categorizes this area of expertise is 261Q00000X.
On what date did Idaho Minor Emergency And Family Practice Pa receive its 1205996063 assignment from the Centers for Medicare & Medicaid Services?
The Idaho Minor Emergency And Family Practice Pa was assigned its 1205996063 on 2006-12-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Idaho Minor Emergency And Family Practice Pa most recently updated?
The details pertaining to the Idaho Minor Emergency And Family Practice Pa, including its address, specialty, and other relevant information, were last refreshed on 2013-03-27.
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