| Cedar Creek Family Medicine | |
|
98 Poplar St Blackfoot ID 83221-1758 | |
| (208) 782-3700 | |
| Not Available |
| Full Name | Cedar Creek Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 98 Poplar St, Blackfoot, 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 |
|---|---|
| Cedar Creek Family Medicine 98 Poplar St Blackfoot ID 83221-1758 Ph: (208) 782-3700 | Cedar Creek Family Medicine 98 Poplar St Blackfoot ID 83221-1758 Ph: (208) 782-3700 |
| NPI Number | 1326245010 |
|---|---|
| Provider Enumeration Date | 06/27/2007 |
| Last Update Date | 12/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326245010 | NPI | - | NPPES |
| 8N216 | Other | ID | BLUE CROSS GRP |
| 8L618 | Other | ID | BLUE CROSS GRP OLD |
| 002854200 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Idaho Physicians Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-785-3800 | |
Blackfoot Medical Clinic Rhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-2600 | |
Blackfoot Medical Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-2600 Fax: 208-785-8185 | |
Intercept Systems, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 N 700 W, Blackfoot, ID 83221 Phone: 208-201-0795 | |
Peak Family Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1495 Parkway Dr Ste C, Blackfoot, ID 83221 Phone: 208-643-4231 Fax: 208-643-4235 | |
Community Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1491 Parkway Dr, Blackfoot, ID 83221 Phone: 208-782-0500 Fax: 844-328-7224 |