| Doctors Clinic Of Elmore County Pllc | |
|
2000 American Legion Blvd Mountain Home ID 83647-3138 | |
| (208) 587-1500 | |
| (208) 587-3180 |
| Full Name | Doctors Clinic Of Elmore County Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2000 American Legion Blvd, Mountain Home, Idaho |
| Authorized Official Name and Position | Layne D Roberts (PHYSICIAN) |
| Authorized Official Contact | 2085871500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctors Clinic Of Elmore County Pllc 2000 American Legion Blvd Mountain Home ID 83647-3138 Ph: (208) 587-1500 | Doctors Clinic Of Elmore County Pllc 2000 American Legion Blvd Mountain Home ID 83647-3138 Ph: (208) 587-1500 |
| NPI Number | 1063578664 |
|---|---|
| Provider Enumeration Date | 12/28/2006 |
| Last Update Date | 02/25/2008 |
| Medicare PECOS PAC ID | 8224098413 |
|---|---|
| Medicare Enrollment ID | O20041012001423 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063578664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | O-91 (Idaho) | Primary |
| 363A00000X | Physician Assistant | PA-265 (Idaho) | Secondary |
| Provider Name | Layne D Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902809205 PECOS PAC ID: 3577523760 Enrollment ID: I20041012001443 |
| Provider Name | Linda J Hensley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881156800 PECOS PAC ID: 3870028921 Enrollment ID: I20241126001376 |
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