| Cycles Of Life Health Care Pllc | |
|
1301 N Division Ave Sandpoint ID 83864-8268 | |
| (208) 363-1345 | |
| (208) 255-5531 |
| Full Name | Cycles Of Life Health Care Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1301 N Division Ave, Sandpoint, Idaho |
| Authorized Official Name and Position | Donna J Foord (PROVIDER/OWNER) |
| Authorized Official Contact | 2082631345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cycles Of Life Health Care Pllc 1301 North Division Street Sandpoint ID 83864 Ph: (208) 363-1345 | Cycles Of Life Health Care Pllc 1301 N Division Ave Sandpoint ID 83864-8268 Ph: (208) 363-1345 |
| NPI Number | 1003047721 |
|---|---|
| Provider Enumeration Date | 07/29/2009 |
| Last Update Date | 04/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003047721 | NPI | - | NPPES |
| 00261900 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | RPA-156 (Idaho) | Primary |
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