| Hunter Anthony Goodenough, | |
|
300 S 3rd W, Soda Springs, ID 83276-1559 | |
| (208) 547-3341 | |
| Not Available |
| Full Name | Hunter Anthony Goodenough |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 300 S 3rd W, Soda Springs, Idaho |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629705934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 66348 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Signature Healthcare At Home Of S E Idaho | Chubbuck, ID | Home health agency |
| Encompass Health Home Health Of Eastern Idaho | Idaho falls, ID | Home health agency |
| Caribou Memorial Hospital | Soda springs, ID | Hospital |
| Portneuf Medical Center | Pocatello, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Caribou Memorial Hospital | 6103734777 | 15 |
| Caribou Medical Center, Inc | 7618365701 | 34 |
| 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 |
|---|---|
| Hunter Anthony Goodenough, 340 Rose Ave, Soda Springs, ID 83276-1250 Ph: (208) 589-3963 | Hunter Anthony Goodenough, 300 S 3rd W, Soda Springs, ID 83276-1559 Ph: (208) 547-3341 |
Aaron Christopher Hobbs, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 S 3rd W, Soda Springs, ID 83276 Phone: 208-547-0438 Fax: 208-547-2798 | |
Connor Torman, PMH-NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 S 3rd W, Soda Springs, ID 83276 Phone: 208-547-3341 Fax: 208-547-2790 | |
Patricia Conner, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 S 3rd W, Soda Springs, ID 83276 Phone: 208-547-0438 Fax: 208-547-2798 |