| Desert Sage Health Centers | |
|
120 Desert Sage Way Mountain Home ID 83647-1038 | |
| (208) 587-3988 | |
| (208) 587-3324 |
| Full Name | Desert Sage Health Centers |
|---|---|
| Speciality | Clinic/Center |
| Location | 120 Desert Sage Way, Mountain Home, Idaho |
| Authorized Official Name and Position | Mary Ferguson (CEO) |
| Authorized Official Contact | 2086967216 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Sage Health Centers 120 Desert Sage Way Mountain Home ID 83647-1038 Ph: (208) 875-3988 | Desert Sage Health Centers 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 | 03/07/2024 |
| Medicare PECOS PAC ID | 5496656894 |
|---|---|
| Medicare Enrollment ID | O20041112001171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518097047 | NPI | - | NPPES |
| 805288500 | Medicaid | ID | |
| 86645 | Other | ID | BLUE CROSS OF IDAHO |
| 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 | |
Doctors Clinic Of Elmore County Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2000 American Legion Blvd, Mountain Home, ID 83647 Phone: 208-587-1500 Fax: 208-587-3180 | |
Michael P Koelsch Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 N 6th E, Mountain Home, ID 83647 Phone: 208-587-5880 Fax: 208-587-7905 | |
St Lukes Rhc - Trinity Mountain Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 465 Mckenna Dr, Mountain Home, ID 83647 Phone: 208-587-9703 | |
North Canyon Mountain Home Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 840 N 4th E, Mountain Home, ID 83647 Phone: 208-934-8829 Fax: 208-934-4874 | |
Trinity Mountain Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 465 Mckenna Dr, Mountain Home, ID 83647 Phone: 208-587-9703 Fax: 208-580-9812 |