| Driggs Clinic | |
|
283 N 1st E Driggs ID 83422-5109 | |
| (208) 354-2302 | |
| (208) 354-8392 |
| Full Name | Driggs Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 283 N 1st E, Driggs, Idaho |
| Authorized Official Name and Position | Jill Payne (CHIEF OF COMPLIANCE) |
| Authorized Official Contact | 2083546352 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Driggs Clinic 120 E Howard St Driggs ID 83422-5112 Ph: (208) 354-6302 | Driggs Clinic 283 N 1st E Driggs ID 83422-5109 Ph: (208) 354-2302 |
| NPI Number | 1013264183 |
|---|---|
| Provider Enumeration Date | 08/08/2012 |
| Last Update Date | 02/20/2020 |
| Certification Date | 02/20/2020 |
| Medicare PECOS PAC ID | 3870744956 |
|---|---|
| Medicare Enrollment ID | O20121120000517 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013264183 | NPI | - | NPPES |
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