| Minidoka Medical Center | |
|
1308 8th St Suite 1 Rupert ID 83350-1530 | |
| (208) 436-4322 | |
| (208) 436-1312 |
| Full Name | Minidoka Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1308 8th St, Rupert, Idaho |
| Authorized Official Name and Position | Thomas J Murphy (ADMINISTRATOR) |
| Authorized Official Contact | 2084368141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minidoka Medical Center 1308 8th St Suite 1 Rupert ID 83350-1530 Ph: (208) 436-4322 | Minidoka Medical Center 1308 8th St Suite 1 Rupert ID 83350-1530 Ph: (208) 436-4322 |
| NPI Number | 1043387426 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 01/18/2016 |
| Medicare PECOS PAC ID | 7315908894 |
|---|---|
| Medicare Enrollment ID | O20050428000396 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043387426 | NPI | - | NPPES |
| 00001002451 | Other | ID | BLUE SHIELD |
| 74146 | Other | ID | BLUE CROSS |
| M8073867 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | MMCRHC (Idaho) | Primary |
Swenson M.d. Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1218 9th St Ste 4, Rupert, ID 83350 Phone: 208-436-4838 Fax: 208-436-1561 | |
Rupert Medical Center Partnership Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1218 9th St Ste 7, Rupert, ID 83350 Phone: 208-436-3161 |