| Steven J Clinger, MD | |
|
1441 Parkway Dr, Blackfoot, ID 83221-1667 | |
| (208) 785-2600 | |
| Not Available |
| Full Name | Steven J Clinger |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1441 Parkway Dr, Blackfoot, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790722841 | NPI | - | NPPES |
| 002330400 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M-5161 (Idaho) | Primary |
| Entity Name | Mountain View Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669462362 PECOS PAC ID: 4486562774 Enrollment ID: O20040527001343 |
| Entity Name | Mvh Bmc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649699174 PECOS PAC ID: 2961791991 Enrollment ID: O20160608002399 |
| Mailing Address | Practice Location Address |
|---|---|
| Steven J Clinger, MD 1441 Parkway Dr, Blackfoot, ID 83221-1667 Ph: (208) 785-2600 | Steven J Clinger, MD 1441 Parkway Dr, Blackfoot, ID 83221-1667 Ph: (208) 785-2600 |
Peggy Toro, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 315 W Idaho St, Blackfoot, ID 83221 Phone: 208-782-3990 Fax: 208-782-3994 | |
Shad T Bateman, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-782-2980 Fax: 208-785-3504 | |
Dr. Amador Ramirez Cantu, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 354 S 1000 W, Blackfoot, ID 83221 Phone: 208-684-4958 | |
Matthew J Fackrell, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-2600 Fax: 208-785-8185 | |
Gary W Soucie, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-2600 | |
George G Hales, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-2600 | |
Brian Carrigan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 326 Poplar St, Blackfoot, ID 83221 Phone: 208-785-5801 Fax: 208-785-3504 |