Total Health Physician Group Llc in Moscow - Multi-specialty
Total Health Physician Group Llc - NPI 1043492655
Total Health Physician Group Llc is a Multi-specialty in Moscow, Idaho. Total Health Physician Group Llc practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Total Health Physician Group Llc is 1043492655. The last update date is 2021-03-11.
Total Health Physician Group Llc's current location address is 619 S Washington St Ste 203, Moscow, Idaho. You can contact this provider via phone number 2088921346 and fax number 2088928306. The mailing address for Total Health Physician Group Llc is 619 S Washington St Ste 203, Moscow, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Total Health Physician Group Llc |
|---|---|
| Address | 619 S Washington St Ste 203, Moscow, Idaho |
| Phone Number | 2088921346 |
| Fax Number | 2088928306 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Spady N Robert |
| Credentials | M.D. |
| Telephone Number | 2088921346 |
NPI Number Detail
| NPI Number | 1043492655 |
|---|---|
| Provider Enumeration Date | 2007-12-05 |
| Last Updated Date | 2021-03-11 |
Provider Mailing Address Detail
| Address | 619 S Washington St Ste 203 |
|---|---|
| City | Moscow |
| State | Idaho (ID) |
| Post Code | 838433063 |
| Phone Number | 2088921346 |
| Fax Number | 2088928306 |
Provider's Primary Taxonomy Detail
| Speciality | Multi-specialty |
|---|---|
| Taxonomy | 261Qm1300X |
|
Definition: Provides integrated outpatient care across medical and surgical specialties with referrals under one roof. |
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What is the unique identifier code issued to Total Health Physician Group Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Total Health Physician Group Llc has been assigned the NPI (National Provider Identifier) 1043492655. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Total Health Physician Group Llc located?
The Total Health Physician Group Llc is located at 619 S Washington St Ste 203, Moscow, ID 838433063.
What is Total Health Physician Group Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Total Health Physician Group Llc is Multi-specialty, and the taxonomy classification code that categorizes this area of expertise is 261Qm1300X.
On what date did the Total Health Physician Group Llc receive the assignment of its 1043492655 from the Centers for Medicare & Medicaid Services?
The Total Health Physician Group Llc was issued its 1043492655 by the Centers for Medicare & Medicaid Services on 2007-12-05.
When was the information related to Total Health Physician Group Llc most recently updated or refreshed?
The details pertaining to the Total Health Physician Group Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-03-11.
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