| Diehl Internal Medicine | |
|
6640 Kaniksu St Bonners Ferry ID 83805-7532 | |
| (540) 454-1848 | |
| Not Available |
| Full Name | Diehl Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 6640 Kaniksu St, Bonners Ferry, Idaho |
| Authorized Official Name and Position | William Paul Diehl (OWNER) |
| Authorized Official Contact | 5404541848 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diehl Internal Medicine Po Box 960 Bonners Ferry ID 83805-0960 Ph: (540) 454-1848 | Diehl Internal Medicine 6640 Kaniksu St Bonners Ferry ID 83805-7532 Ph: (540) 454-1848 |
| NPI Number | 1396489696 |
|---|---|
| Provider Enumeration Date | 04/22/2022 |
| Last Update Date | 06/06/2022 |
| Medicare PECOS PAC ID | 0749668846 |
|---|---|
| Medicare Enrollment ID | O20220601002596 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396489696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | William P Diehl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275038093 PECOS PAC ID: 2365790797 Enrollment ID: I20210524002866 |
Main Street Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6641 Kaniksu St, Suite A, Bonners Ferry, ID 83805 Phone: 208-265-3655 Fax: 208-267-3757 | |
Boundary Regional Community Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6615 Comanche St, Bonners Ferry, ID 83805 Phone: 208-267-1718 Fax: 208-267-7739 | |
Cornerstone Urgent Care & Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 David Thompson Dr Ste A, Bonners Ferry, ID 83805 Phone: 208-267-3934 | |
Kootenai Tribe Of Idaho Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Circle Drive, Bonners Ferry, ID 83805 Phone: 208-267-5223 Fax: 208-267-8419 | |
Boundary Community Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6640 Kaniksu St, Bonners Ferry, ID 83805 Phone: 208-267-4850 | |
Boundary Regional Community Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6635 Comanche St, Bonners Ferry, ID 83805 Phone: 208-267-1718 Fax: 208-267-7739 |