Primary Care Specialists, Pa in Pocatello - Primary Care
Primary Care Specialists, Pa - NPI 1508875881
Primary Care Specialists, Pa is a Primary Care in Pocatello, Idaho. Primary Care Specialists, Pa practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Primary Care Specialists, Pa is 1508875881. The last update date is 2012-09-18.
Primary Care Specialists, Pa's current location address is 110 Vista Drive, Pocatello, Idaho. You can contact this provider via phone number 2082342300 and fax number 2082340026. The mailing address for Primary Care Specialists, Pa is 110 Vista Drive, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Primary Care Specialists, Pa |
|---|---|
| Address | 110 Vista Drive, Pocatello, Idaho |
| Phone Number | 2082342300 |
| Fax Number | 2082340026 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Mansfield L Mark |
| Credentials | MD |
| Telephone Number | 2082342300 |
NPI Number Detail
| NPI Number | 1508875881 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2012-09-18 |
Provider Mailing Address Detail
| Address | 110 Vista Drive |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 83201 |
| Phone Number | 2082342300 |
| Fax Number | 2082340026 |
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 |
|---|---|---|---|
| 805105400 | ID | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Primary Care Specialists, Pa by the Centers for Medicare & Medicaid Services?
The Primary Care Specialists, Pa has been assigned the NPI (National Provider Identifier) 1508875881. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Primary Care Specialists, Pa?
The Primary Care Specialists, Pa is situated at 110 Vista Drive, in the city of Pocatello, state of ID, with the zip code 83201.
What is Primary Care Specialists, Pa's area of expertise and its corresponding taxonomy classification?
The Primary Care Specialists, Pa'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 was the Primary Care Specialists, Pa's 1508875881 issued?
The Primary Care Specialists, Pa's 1508875881 was issued on 2006-08-05.
As of what date was the information pertaining to Primary Care Specialists, Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Primary Care Specialists, Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-09-18.