| Nicholas B Henrie, MD | |
|
701 Lewiston St, Cottonwood, ID 83522-9750 | |
| (208) 962-3267 | |
| Not Available |
| Full Name | Nicholas B Henrie |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 701 Lewiston St, Cottonwood, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487229324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M-16853 (Idaho) | Primary |
| Entity Name | Clearwater Valley Hospital & Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073551396 PECOS PAC ID: 0547173346 Enrollment ID: O20031117000264 |
| Entity Name | St. Mary's Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841292307 PECOS PAC ID: 5092773168 Enrollment ID: O20050316000814 |
| Entity Name | St. Mary's Hospital, Inc. |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1841292307 PECOS PAC ID: 5092773168 Enrollment ID: O20061104000429 |
| Entity Name | Caribou Medical Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942970272 PECOS PAC ID: 7618365701 Enrollment ID: O20220314000619 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas B Henrie, MD 701 Lewiston St, Cottonwood, ID 83522-9750 Ph: (208) 962-3267 | Nicholas B Henrie, MD 701 Lewiston St, Cottonwood, ID 83522-9750 Ph: (208) 962-3267 |
Alvin Jackson Secrest Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Lewiston St, Cottonwood, ID 83522 Phone: 208-962-3267 Fax: 208-962-2313 | |
Tema Lynn Jessup, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Lewiston St, Cottonwood, ID 83522 Phone: 208-962-3251 Fax: 208-962-2313 | |
Haley J Minnehan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Lewiston St, Cottonwood, ID 83522 Phone: 208-962-3267 Fax: 208-962-2313 | |
Dr. Jeremy D Ostrander, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 701 Lewiston St, Cottonwood, ID 83522 Phone: 208-962-3267 Fax: 208-962-2313 | |
Dr. Andrew F Jones, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1775 Keuterville Road, Cottonwood, ID 83522 Phone: 208-962-3052 | |
Justin Leroy Jones, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Lewiston St, Cottonwood, ID 83522 Phone: 208-962-3251 Fax: 208-962-2478 |