| Family Medical Care Clinics Corporation A Professional Association | |
|
265 W Prairie Shopping Ctr Hayden ID 83835-9855 | |
| (208) 772-7850 | |
| (208) 772-2313 |
| Full Name | Family Medical Care Clinics Corporation A Professional Association |
|---|---|
| Speciality | Family Medicine |
| Location | 265 W Prairie Shopping Ctr, Hayden, Idaho |
| Authorized Official Name and Position | John L Torquato (PRESIDENT) |
| Authorized Official Contact | 2087727850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Care Clinics Corporation A Professional Association Po Box 38 Hayden ID 83835-0038 Ph: (208) 772-7850 | Family Medical Care Clinics Corporation A Professional Association 265 W Prairie Shopping Ctr Hayden ID 83835-9855 Ph: (208) 772-7850 |
| NPI Number | 1942730775 |
|---|---|
| Provider Enumeration Date | 06/14/2017 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 5890066591 |
|---|---|
| Medicare Enrollment ID | O20171127003248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942730775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | John L Torquato |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417901638 PECOS PAC ID: 4688696073 Enrollment ID: I20140225001672 |
| Provider Name | Erik Ri Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396195269 PECOS PAC ID: 4385937689 Enrollment ID: I20161123000034 |
| Provider Name | Charinette Gamboa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538699236 PECOS PAC ID: 5698046431 Enrollment ID: I20180117001056 |
Family Medical Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 265 W Prairie Shopping Ctr, Hayden, ID 83835 Phone: 208-772-7850 Fax: 208-772-2313 | |
We Care Wellness, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 827 W Prairie Ave, Hayden, ID 83835 Phone: 208-660-9378 Fax: 208-759-8527 | |
Body Tech Massage & Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2151 W Hayden Ave, Hayden, ID 83835 Phone: 208-762-6772 | |
Spear Tms Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9321 N Government Way Ste E, Hayden, ID 83835 Phone: 208-502-2744 Fax: 208-635-0135 | |
Brown Family Chiropractic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 705 E Prairie Ave Ste B, Hayden, ID 83835 Phone: 208-518-8297 | |
Caring Physician's Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8827 N Government Way Unit 2, Hayden, ID 83835 Phone: 208-762-5577 Fax: 208-762-5520 | |
Hayden Lake Family Physicians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8181 Cornerstone Dr, Hayden, ID 83835 Phone: 208-772-0785 Fax: 208-762-2704 |