Keith E Davis is a Rural Health in Shoshone, Idaho. Keith E Davis practices all healthcare services and medical treatments related to Rural Health. The NPI Number for Keith E Davis is 1972673218. The last update date is 2012-03-08.
Keith E Davis's current location address is 113 S Apple St, Shoshone, Idaho. You can contact this provider via phone number 2088862222. The mailing address for Keith E Davis is 113 S Apple St, Shoshone, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Keith E Davis |
|---|---|
| Address | 113 S Apple St, Shoshone, Idaho |
| Phone Number | 2088862222 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Davis E Keith |
| Credentials | MD |
| Telephone Number | 2088862224 |
NPI Number Detail
| NPI Number | 1972673218 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2012-03-08 |
Provider Mailing Address Detail
| Address | 113 S Apple St |
|---|---|
| City | Shoshone |
| State | Idaho (ID) |
| Post Code | 833525287 |
| Phone Number | 2088862222 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Rural Health |
|---|---|
| Taxonomy | 261Qr1300X |
|
Definition: Provides primary care and preventive health services in rural medically underserved areas. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 806290300 | ID | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Keith E Davis by the Centers for Medicare & Medicaid Services?
The Keith E Davis has been assigned the NPI (National Provider Identifier) 1972673218. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Keith E Davis is located?
The Keith E Davis is situated at the following address: 113 S Apple St, Shoshone, ID, 833525287.
What is the Keith E Davis's specialty and taxonomy code?
The Keith E Davis's specialty is Rural Health, and the corresponding taxonomy code is 261Qr1300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1972673218 to Keith E Davis?
The Centers for Medicare & Medicaid Services assigned the 1972673218 to Keith E Davis on 2006-11-08.
As of what date were the details pertaining to Keith E Davis last refreshed?
The information related to the Keith E Davis, including its address, specialty, and other relevant details, was last updated on 2012-03-08.