| Idaho Physicians Clinic | |
|
98 Poplar St Blackfoot ID 83221-1758 | |
| (208) 785-3800 | |
| Not Available |
| Full Name | Idaho Physicians Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 98 Poplar St, Blackfoot, Idaho |
| Authorized Official Name and Position | Louis Kraml (CEO) |
| Authorized Official Contact | 2087853801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Idaho Physicians Clinic 98 Poplar St Blackfoot ID 83221-1758 Ph: (208) 785-3800 | Idaho Physicians Clinic 98 Poplar St Blackfoot ID 83221-1758 Ph: (208) 785-3800 |
| NPI Number | 1770785875 |
|---|---|
| Provider Enumeration Date | 06/01/2007 |
| Last Update Date | 12/16/2019 |
| Medicare PECOS PAC ID | 8426149758 |
|---|---|
| Medicare Enrollment ID | O20070801000381 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770785875 | NPI | - | NPPES |
| 8N222 | Other | ID | BLUE CROSS OF IDAHO |
| 000010137702 | Other | ID | BLUE SHIELD OF IDAHO |
| 8F496 | Other | ID | BLUE CROSS OF IDAHO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 36 (Idaho) | Primary |
Idaho Physicians Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-785-3800 | |
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Intercept Systems, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 N 700 W, Blackfoot, ID 83221 Phone: 208-201-0795 | |
Peak Family Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1495 Parkway Dr Ste C, Blackfoot, ID 83221 Phone: 208-643-4231 Fax: 208-643-4235 | |
Cedar Creek Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-782-3700 | |
Community Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1491 Parkway Dr, Blackfoot, ID 83221 Phone: 208-782-0500 Fax: 844-328-7224 |