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1501 Hiland Ave Burley ID 83318-2682 | |
(208) 677-6215 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 1501 Hiland Ave, Burley, Idaho |
Authorized Official Name and Position | Denis Smith (ADMINISTRATOR) |
Authorized Official Contact | 8014422000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 30180 Salt Lake City UT 84130-0180 Ph: () - | 1501 Hiland Ave Burley ID 83318-2682 Ph: (208) 677-6215 |
NPI Number | 1043324585 |
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Provider Enumeration Date | 08/19/2006 |
Last Update Date | 11/16/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043324585 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Wayne H Blauer Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 Hiland Ave, Ste L3, Burley, ID 83318 Phone: 208-678-2283 Fax: 208-677-2483 | |
Albion Valley Health Clinic Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 West 5th Street, Burley, ID 83318 Phone: 208-312-9740 Fax: 208-678-0910 | |