| Haven Complete Wellness Services | |
|
2434 S Fairway Dr Pocatello ID 83201-2372 | |
| (208) 851-9151 | |
| (208) 977-0029 |
| Full Name | Haven Complete Wellness Services |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 2434 S Fairway Dr, Pocatello, Idaho |
| Authorized Official Name and Position | Brandy M Bates (OWNER/PROVIDER) |
| Authorized Official Contact | 2088519151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven Complete Wellness Services 2434 S Fairway Dr Pocatello ID 83201-2372 Ph: (208) 851-9151 | Haven Complete Wellness Services 2434 S Fairway Dr Pocatello ID 83201-2372 Ph: (208) 851-9151 |
| NPI Number | 1184573032 |
|---|---|
| Provider Enumeration Date | 01/23/2026 |
| Last Update Date | 07/15/2026 |
| Certification Date | 07/15/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184573032 | NPI | - | NPPES |
| 601809507 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | () | Primary |
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