Timberlake Family Medicine in Athol - Primary Care
Timberlake Family Medicine - NPI 1932392933
Timberlake Family Medicine is a Primary Care in Athol, Idaho. Timberlake Family Medicine practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Timberlake Family Medicine is 1932392933. The last update date is 2007-08-22.
Timberlake Family Medicine's current location address is Po Box 775, Athol, Idaho. You can contact this provider via phone number 2086830800 and fax number 2086830900. The mailing address for Timberlake Family Medicine is Po Box 775, Athol, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Timberlake Family Medicine |
|---|---|
| Address | Po Box 775, Athol, Idaho |
| Phone Number | 2086830800 |
| Fax Number | 2086830900 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Sundquist Ray Christopher |
| Credentials | PA-C |
| Telephone Number | 2086830800 |
NPI Number Detail
| NPI Number | 1932392933 |
|---|---|
| Provider Enumeration Date | 2007-08-22 |
| Last Updated Date | 2007-08-22 |
Provider Mailing Address Detail
| Address | Po Box 775 |
|---|---|
| City | Athol |
| State | Idaho (ID) |
| Post Code | 838010775 |
| Phone Number | 2086830800 |
| Fax Number | 2086830900 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
| Licence No | PA303 |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PAD92 | BLUE CROSS | ||
| 10158675 | REGENCE |
Post Comment/ Review Below
What is the unique identifier code issued to Timberlake Family Medicine by the Centers for Medicare & Medicaid Services?
The Timberlake Family Medicine has been assigned the NPI (National Provider Identifier) 1932392933. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Timberlake Family Medicine's facilities are geographically located?
The facilities of Timberlake Family Medicine are physically situated at the following location: Po Box 775, Athol, ID, 838010775.
What is Timberlake Family Medicine's area of expertise and its corresponding taxonomy classification?
The Timberlake Family Medicine's field of specialization is Primary Care, and it falls under the taxonomy code 261Qp2300X, which categorizes healthcare providers based on their areas of practice.
When did Timberlake Family Medicine receive its 1932392933 assignment?
The Timberlake Family Medicine was assigned its 1932392933 on 2007-08-22, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Timberlake Family Medicine, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Timberlake Family Medicine, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-08-22.