Desert Sage Health Center | |
2280 American Legion Blvd Mountain Home ID 83647-3142 | |
(208) 587-3988 | |
Not Available |
Full Name | Desert Sage Health Center |
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Speciality | Dentist |
Location | 2280 American Legion Blvd, Mountain Home, Idaho |
Authorized Official Name and Position | Mary Ferguson (CEO) |
Authorized Official Contact | 2086967216 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Desert Sage Health Center 2280 American Legion Blvd Mountain Home ID 83647-3142 Ph: (208) 587-3988 | Desert Sage Health Center 2280 American Legion Blvd Mountain Home ID 83647-3142 Ph: (208) 587-3988 |
NPI Number | 1982089678 |
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Provider Enumeration Date | 07/23/2015 |
Last Update Date | 02/19/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982089678 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D4672 (Idaho) | Primary |
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