| Bingham Healthcare Specialty Clinic and Urgent Care - Yellowstone Ave | |
|
850 Yellowstone Ave Ste B Pocatello ID 83201-4415 | |
| (208) 239-8066 | |
| (208) 239-8067 |
| Full Name | Bingham Healthcare Specialty Clinic and Urgent Care - Yellowstone Ave |
|---|---|
| Speciality | Family Medicine |
| Location | 850 Yellowstone Ave Ste B, Pocatello, Idaho |
| Authorized Official Name and Position | Jacob Erickson (CEO) |
| Authorized Official Contact | 2087853801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bingham Healthcare Specialty Clinic and Urgent Care - Yellowstone Ave 98 Poplar St Blackfoot ID 83221-1758 Ph: (208) 782-3763 | Bingham Healthcare Specialty Clinic and Urgent Care - Yellowstone Ave 850 Yellowstone Ave Ste B Pocatello ID 83201-4415 Ph: (208) 239-8066 |
| NPI Number | 1215511241 |
|---|---|
| Provider Enumeration Date | 05/06/2021 |
| Last Update Date | 05/09/2024 |
| Certification Date | 05/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215511241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 261Q00000X | Clinic/center | () | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | () | Secondary |
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