| Family Practice Associates Pa Mid Level | |
|
21 E Maple St Suite A Hailey ID 83333-8401 | |
| (208) 788-3200 | |
| (208) 788-3386 |
| Full Name | Family Practice Associates Pa Mid Level |
|---|---|
| Speciality | Family Medicine |
| Location | 21 E Maple St, Hailey, Idaho |
| Authorized Official Name and Position | Donald Levin (PHYSICIAN) |
| Authorized Official Contact | 2087883200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Associates Pa Mid Level 21 E Maple St Suite A Hailey ID 83333-8401 Ph: (208) 788-3200 | Family Practice Associates Pa Mid Level 21 E Maple St Suite A Hailey ID 83333-8401 Ph: (208) 788-3200 |
| NPI Number | 1982888756 |
|---|---|
| Provider Enumeration Date | 12/28/2007 |
| Last Update Date | 12/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982888756 | NPI | - | NPPES |
| 8H716 | Other | ID | BLUE CROSS |
| 8076448 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Family Practice Associates, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 E Maple St, Suite A, Hailey, ID 83333 Phone: 208-788-3200 Fax: 208-788-3386 |