| Fremont Medical Services Pc | |
|
3765 Highway 20 S Island Park ID 83429 | |
| (208) 558-7766 | |
| Not Available |
| Full Name | Fremont Medical Services Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 3765 Highway 20 S, Island Park, Idaho |
| Authorized Official Name and Position | Stephen Cheyne (PRESIDENT) |
| Authorized Official Contact | 2085587766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fremont Medical Services Pc Po Box 826 Ashton ID 83420-0826 Ph: () - | Fremont Medical Services Pc 3765 Highway 20 S Island Park ID 83429 Ph: (208) 558-7766 |
| NPI Number | 1407026560 |
|---|---|
| Provider Enumeration Date | 03/05/2008 |
| Last Update Date | 04/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407026560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | M4566 (Idaho) | Primary |