| Intercept Systems, PLLC | |
|
140 N 700 W Blackfoot ID 83221-5311 | |
| (208) 201-0795 | |
| Not Available |
| Full Name | Intercept Systems, PLLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 140 N 700 W, Blackfoot, Idaho |
| Authorized Official Name and Position | Ralph D Heckard (MANAGER) |
| Authorized Official Contact | 2082010795 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intercept Systems, PLLC 140 N 700 W Blackfoot ID 83221-5311 Ph: (208) 201-0795 | Intercept Systems, PLLC 140 N 700 W Blackfoot ID 83221-5311 Ph: (208) 201-0795 |
| NPI Number | 1275707630 |
|---|---|
| Provider Enumeration Date | 04/16/2008 |
| Last Update Date | 04/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275707630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | M4388 (Idaho) | Primary |
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