| The Peckham Foundation, Inc | |
|
50 Main St Ste 201 Priest River ID 83856-6758 | |
| (208) 448-4744 | |
| Not Available |
| Full Name | The Peckham Foundation, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 50 Main St Ste 201, Priest River, Idaho |
| Authorized Official Name and Position | Lon Peckham (CEO) |
| Authorized Official Contact | 2084484744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Peckham Foundation, Inc 50 Main St Ste 201 Priest River ID 83856-6758 Ph: () - | The Peckham Foundation, Inc 50 Main St Ste 201 Priest River ID 83856-6758 Ph: (208) 448-4744 |
| NPI Number | 1205793619 |
|---|---|
| Provider Enumeration Date | 01/07/2026 |
| Last Update Date | 01/07/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205793619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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