| Imhealth Llc | |
|
333 W Cedar St Ste 3 Pocatello ID 83201-5045 | |
| (208) 252-5621 | |
| (208) 648-4167 |
| Full Name | Imhealth Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 333 W Cedar St Ste 3, Pocatello, Idaho |
| Authorized Official Name and Position | Krista Batts (BILLING MANAGER) |
| Authorized Official Contact | 2083804978 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Imhealth Llc 333 W Cedar St Ste 3 Pocatello ID 83201-5045 Ph: (208) 252-5621 | Imhealth Llc 333 W Cedar St Ste 3 Pocatello ID 83201-5045 Ph: (208) 252-5621 |
| NPI Number | 1114599321 |
|---|---|
| Provider Enumeration Date | 07/15/2021 |
| Last Update Date | 07/15/2021 |
| Certification Date | 07/15/2021 |
| Medicare PECOS PAC ID | 6800294810 |
|---|---|
| Medicare Enrollment ID | O20211005003677 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114599321 | NPI | - | NPPES |
| Provider Name | Carey D Crill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457530693 PECOS PAC ID: 4385715275 Enrollment ID: I20080620000110 |
| Provider Name | Julie N Labernik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376732933 PECOS PAC ID: 2769512425 Enrollment ID: I20100608000099 |
| Provider Name | Kay Martens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538708862 PECOS PAC ID: 1254735954 Enrollment ID: I20210803000843 |
| Provider Name | Angela Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649873332 PECOS PAC ID: 2769887249 Enrollment ID: I20210820002749 |
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