| Glenns Ferry Health Center, Inc. | |
|
120 Desert Sage Way Mountain Home ID 83647-1038 | |
| (208) 587-3988 | |
| (208) 587-3324 |
| Full Name | Glenns Ferry Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 120 Desert Sage Way, Mountain Home, Idaho |
| Authorized Official Name and Position | Sharlet Wilson (EXECUTIVE ASSISTANT) |
| Authorized Official Contact | 2086967203 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenns Ferry Health Center, Inc. 120 Desert Sage Way Mountain Home ID 83647-1038 Ph: (208) 875-3988 | Glenns Ferry Health Center, Inc. 120 Desert Sage Way Mountain Home ID 83647-1038 Ph: (208) 587-3988 |
| NPI Number | 1518097047 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 09/20/2024 |
| Medicare PECOS PAC ID | 5496656894 |
|---|---|
| Medicare Enrollment ID | O20041112001171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518097047 | NPI | - | NPPES |
| 86645 | Other | ID | BLUE CROSS OF IDAHO |
| 805288500 | Medicaid | ID | |
| MEDICARE RAILROAD | Other | CP8711 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Idaho) | Primary |
Idaho Behavioral Health, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2420 American Legion Blvd, Mountain Home, ID 83647 Phone: 208-580-9525 Fax: 208-580-9527 | |
St Lukes Clinic-treasure Valley Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 465 Mckenna Dr, Mountain Home, ID 83647 Phone: 208-587-9703 | |
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