| Mountainview Family Practice | |
|
301 S Division St Pinehurst ID 83850-9767 | |
| (208) 682-9200 | |
| (208) 682-9300 |
| Full Name | Mountainview Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 301 S Division St, Pinehurst, Idaho |
| Authorized Official Name and Position | Scott A Reed (PROVIDER/OWNER) |
| Authorized Official Contact | 2086829200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountainview Family Practice 9 Main St Unit 894 Pinehurst ID 83850-1435 Ph: (208) 682-2707 | Mountainview Family Practice 301 S Division St Pinehurst ID 83850-9767 Ph: (208) 682-9200 |
| NPI Number | 1922383074 |
|---|---|
| Provider Enumeration Date | 10/19/2011 |
| Last Update Date | 05/12/2021 |
| Medicare PECOS PAC ID | 0547437279 |
|---|---|
| Medicare Enrollment ID | O20120121000021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922383074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | M8355 (Idaho) | Secondary |
| Provider Name | Scott A Reed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326090754 PECOS PAC ID: 5991791105 Enrollment ID: I20040422001439 |
Silver Valley Medicine Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 Church St, Pinehurst, ID 83850 Phone: 208-682-2151 |