Payette Lakes Medical Clinic, Pa in Mccall - Primary Care
Payette Lakes Medical Clinic, Pa - NPI 1902937196
Payette Lakes Medical Clinic, Pa is a Primary Care in Mccall, Idaho. Payette Lakes Medical Clinic, Pa practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Payette Lakes Medical Clinic, Pa is 1902937196. The last update date is 2008-03-17.
Payette Lakes Medical Clinic, Pa's current location address is Po Box 1047, Mccall, Idaho. You can contact this provider via phone number 2083254455 and fax number 2083254466. The mailing address for Payette Lakes Medical Clinic, Pa is Po Box 1047, Mccall, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Payette Lakes Medical Clinic, Pa |
|---|---|
| Address | Po Box 1047, Mccall, Idaho |
| Phone Number | 2083254455 |
| Fax Number | 2083254466 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP - PHYSI |
|---|---|
| Authorized Official Name | Bruns R Jacqueline |
| Telephone Number | 2086344061 |
NPI Number Detail
| NPI Number | 1902937196 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2008-03-17 |
Provider Mailing Address Detail
| Address | Po Box 1047 |
|---|---|
| City | Mccall |
| State | Idaho (ID) |
| Post Code | 836381047 |
| Phone Number | 2083254455 |
| Fax Number | 2083254466 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8N006 | ID | BC | |
| 10160243 | ID | BS |
Post Comment/ Review Below
What is the Payette Lakes Medical Clinic, Pa's unique identification number?
The Payette Lakes Medical Clinic, Pa has been assigned the NPI (National Provider Identifier) Number 1902937196 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Payette Lakes Medical Clinic, Pa is geographically located?
The Payette Lakes Medical Clinic, Pa is physically situated at the following location: Po Box 1047, Mccall, ID, 836381047.
What is Payette Lakes Medical Clinic, Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Payette Lakes Medical Clinic, Pa is Primary Care, and the taxonomy code that classifies this field of practice is 261Qp2300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1902937196 to Payette Lakes Medical Clinic, Pa?
The Centers for Medicare & Medicaid Services originally issued the 1902937196 to Payette Lakes Medical Clinic, Pa on 2007-03-08.
As of what date were the details pertaining to Payette Lakes Medical Clinic, Pa last refreshed?
The information related to the Payette Lakes Medical Clinic, Pa, including its address, specialty, and other relevant details, was last updated on 2008-03-17.