| Lawrence J Sladich, MD | |
|
910 Nw 16th, Fruitland, ID 83619 | |
| (208) 452-8040 | |
| (208) 452-8056 |
| Full Name | Lawrence J Sladich |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 910 Nw 16th, Fruitland, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477598258 | NPI | - | NPPES |
| 003952400 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M5535 (Idaho) | Primary |
| Entity Name | Saint Alphonsus Medical Center- Ontario Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093034159 PECOS PAC ID: 1456488899 Enrollment ID: O20100713000593 |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence J Sladich, MD 3340 E Goldstone Way, Meridian, ID 83642-1026 Ph: (208) 452-8040 | Lawrence J Sladich, MD 910 Nw 16th, Fruitland, ID 83619 Ph: (208) 452-8040 |
Kurt E Kracaw, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 910 Nw 16th St, Ste 101, Fruitland, ID 83619 Phone: 208-452-8000 Fax: 208-452-8055 | |
Billy J Galligar, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 N Whitley Dr, Fruitland, ID 83619 Phone: 208-452-2672 Fax: 208-452-2673 | |
Melissa Waite, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1210 Nw 16th St, Fruitland, ID 83619 Phone: 208-452-8700 Fax: 208-452-8701 | |
Dr. Nani Jane Cabrera, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1107 Nw 11th St, Fruitland, ID 83619 Phone: 208-452-8700 Fax: 208-452-8725 | |
Caleb Patee, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 910 Nw 16th, Suite 101, Fruitland, ID 83619 Phone: 208-452-8000 Fax: 208-452-8055 | |
Michael Joseph Hoilien, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 910 Nw 16th Street, Ste 101, Fruitland, ID 83619 Phone: 208-452-8000 Fax: 208-452-8055 |