| Idaho Minor Emergency And Family Practice Pa | |
|
3041 East Copper Pointe Drive Meridian ID 83642 | |
| (208) 514-4400 | |
| (208) 514-4404 |
| Full Name | Idaho Minor Emergency And Family Practice Pa |
|---|---|
| Speciality | Clinic/center |
| Location | 3041 East Copper Pointe Drive, Meridian, Idaho |
| Authorized Official Name and Position | Raymond Paul Hooft (OWNER, CEO) |
| Authorized Official Contact | 2085144400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idaho Minor Emergency And Family Practice Pa 3041 East Copper Pointe Drive Meridian ID 83642 Ph: (208) 514-4400 | Idaho Minor Emergency And Family Practice Pa 3041 East Copper Pointe Drive Meridian ID 83642 Ph: (208) 514-4400 |
| NPI Number | 1205996063 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 03/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205996063 | NPI | - | NPPES |
| 13D1049440 | Other | ID | CLIA NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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