Payette Lakes Medical Clinic, Pa in Mccall - Primary Care
Payette Lakes Medical Clinic, Pa - NPI 1922139468
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 1922139468. The last update date is 2008-03-17.
Payette Lakes Medical Clinic, Pa's current location address is P O Box 1047, Mccall, Idaho. You can contact this provider via phone number 2083472146 and fax number 2083472147. The mailing address for Payette Lakes Medical Clinic, Pa is P O Box 1047, Mccall, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Payette Lakes Medical Clinic, Pa |
|---|---|
| Address | P O Box 1047, Mccall, Idaho |
| Phone Number | 2083472146 |
| Fax Number | 2083472147 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP - PHYSI |
|---|---|
| Authorized Official Name | Bruns R Jacqueline |
| Telephone Number | 2086344061 |
NPI Number Detail
| NPI Number | 1922139468 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2008-03-17 |
Provider Mailing Address Detail
| Address | P O Box 1047 |
|---|---|
| City | Mccall |
| State | Idaho (ID) |
| Post Code | 836381047 |
| Phone Number | 2083472146 |
| Fax Number | 2083472147 |
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 |
|---|---|---|---|
| 10006721 | ID | BS | |
| 28340 | ID | BC |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Payette Lakes Medical Clinic, Pa by the Centers for Medicare & Medicaid Services?
The Payette Lakes Medical Clinic, Pa has been assigned the NPI (National Provider Identifier) 1922139468 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Payette Lakes Medical Clinic, Pa's physical address?
The Payette Lakes Medical Clinic, Pa is physically located at P O Box 1047, in the city of Mccall, ID, with the postal code 836381047.
What is the Payette Lakes Medical Clinic, Pa's area of specialization and corresponding taxonomy classification?
The Payette Lakes Medical Clinic, Pa's specialty field is Primary Care, and it falls under the taxonomy code 261Qp2300X, which categorizes healthcare providers based on their specialties.
On what date was the 1922139468 assigned to Payette Lakes Medical Clinic, Pa?
The Payette Lakes Medical Clinic, Pa was issued its 1922139468 on 2007-03-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Payette Lakes Medical Clinic, Pa most recently updated?
The details pertaining to the Payette Lakes Medical Clinic, Pa, including its address, specialty, and other relevant information, were last refreshed on 2008-03-17.