Evening Medical Clinic in Burley - Health Service
Evening Medical Clinic - NPI 1043412133
Evening Medical Clinic is a Health Service in Burley, Idaho. Evening Medical Clinic practices all healthcare services and medical treatments related to Health Service. The NPI Number for Evening Medical Clinic is 1043412133. The last update date is 2010-07-16.
Evening Medical Clinic's current location address is 1252 Bennett Ave, Burley, Idaho. You can contact this provider via phone number 2088783486 and fax number 2088782005. The mailing address for Evening Medical Clinic is 1252 Bennett Ave, Burley, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evening Medical Clinic |
|---|---|
| Address | 1252 Bennett Ave, Burley, Idaho |
| Phone Number | 2088783486 |
| Fax Number | 2088782005 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Klett P Michael |
| Credentials | DO |
| Telephone Number | 2088785255 |
NPI Number Detail
| NPI Number | 1043412133 |
|---|---|
| Provider Enumeration Date | 2007-06-01 |
| Last Updated Date | 2010-07-16 |
Provider Mailing Address Detail
| Address | 1252 Bennett Ave |
|---|---|
| City | Burley |
| State | Idaho (ID) |
| Post Code | 83318 |
| Phone Number | 2088783486 |
| Fax Number | 2088782005 |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 261Qh0100X |
|
Definition: Provides general outpatient medical care by physicians and other providers. |
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Post Comment/ Review Below
What is the Evening Medical Clinic's 1043412133?
The Evening Medical Clinic's NPI (National Provider Identifier) Number is 1043412133. 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 street address where Evening Medical Clinic is physically located?
The Evening Medical Clinic is physically situated at the following address: 1252 Bennett Ave, Burley, ID, 83318.
What is the Evening Medical Clinic's area of specialization and corresponding taxonomy classification?
The Evening Medical Clinic's specialty field is Health Service, and it falls under the taxonomy code 261Qh0100X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1043412133 to Evening Medical Clinic?
The Centers for Medicare & Medicaid Services assigned the 1043412133 to Evening Medical Clinic on 2007-06-01.
When was the information regarding Evening Medical Clinic most recently updated?
The details pertaining to the Evening Medical Clinic, including its address, specialty, and other relevant information, were last refreshed on 2010-07-16.