| Ethos Progressive Care | |
|
1986 W Hayden Ave Hayden ID 83835-7412 | |
| (208) 666-0909 | |
| (208) 666-0404 |
| Full Name | Ethos Progressive Care |
|---|---|
| Speciality | Family Medicine |
| Location | 1986 W Hayden Ave, Hayden, Idaho |
| Authorized Official Name and Position | Sarah J Lorion (OWNER) |
| Authorized Official Contact | 2086660909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ethos Progressive Care Po Box 3429 Coeur D Alene ID 83816-2510 Ph: (208) 666-0909 | Ethos Progressive Care 1986 W Hayden Ave Hayden ID 83835-7412 Ph: (208) 666-0909 |
| NPI Number | 1932122827 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 11/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932122827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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