| Michael P Koelsch Md | |
|
805 N 6th E Mountain Home ID 83647-2207 | |
| (208) 587-5880 | |
| (208) 587-7905 |
| Full Name | Michael P Koelsch Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 805 N 6th E, Mountain Home, Idaho |
| Authorized Official Name and Position | Mary Lou Koelsch (OFFICE MANAGER) |
| Authorized Official Contact | 2085875880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael P Koelsch Md Po Box 940 Mountain Home ID 83647-0940 Ph: (208) 587-5880 | Michael P Koelsch Md 805 N 6th E Mountain Home ID 83647-2207 Ph: (208) 587-5880 |
| NPI Number | 1356475115 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 09/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356475115 | NPI | - | NPPES |
| 8H732 | Other | ID | BLUE CROSS GROUP |
| 805234300 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M3819 (Idaho) | Primary |
| 363LF0000X | Nurse Practitioner - Family | NP382A (Idaho) | Secondary |
Idaho Behavioral Health, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2420 American Legion Blvd, Mountain Home, ID 83647 Phone: 208-580-9525 Fax: 208-580-9527 | |
Doctors Clinic Of Elmore County Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2000 American Legion Blvd, Mountain Home, ID 83647 Phone: 208-587-1500 Fax: 208-587-3180 | |
St Lukes Rhc - Trinity Mountain Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 465 Mckenna Dr, Mountain Home, ID 83647 Phone: 208-587-9703 | |
Desert Sage Health Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 120 Desert Sage Way, Mountain Home, ID 83647 Phone: 208-587-3988 Fax: 208-587-3324 | |
North Canyon Mountain Home Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 840 N 4th E, Mountain Home, ID 83647 Phone: 208-934-8829 Fax: 208-934-4874 | |
Trinity Mountain Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 465 Mckenna Dr, Mountain Home, ID 83647 Phone: 208-587-9703 Fax: 208-580-9812 |