| North Canyon Jerome Clinic | |
|
491 Heritage Dr Jerome ID 83338-6701 | |
| (208) 644-7500 | |
| (208) 644-7501 |
| Full Name | North Canyon Jerome Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 491 Heritage Dr, Jerome, Idaho |
| Authorized Official Name and Position | Sara Demoe (CFO) |
| Authorized Official Contact | 2089349695 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Canyon Jerome Clinic 267 N Canyon Dr Gooding ID 83330-5500 Ph: (208) 934-4433 | North Canyon Jerome Clinic 491 Heritage Dr Jerome ID 83338-6701 Ph: (208) 644-7500 |
| NPI Number | 1376160457 |
|---|---|
| Provider Enumeration Date | 07/06/2020 |
| Last Update Date | 01/29/2021 |
| Medicare PECOS PAC ID | 0941371439 |
|---|---|
| Medicare Enrollment ID | O20210128002378 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376160457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Family Care Physicians, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 5th Ave W, Jerome, ID 83338 Phone: 208-324-1157 Fax: 208-324-3604 | |
Lorraine Tangen M.d. Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 N Lincoln Ave, Jerome, ID 83338 Phone: 208-324-6656 | |
Urgent Care Of Jerome Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 133 W Avenue A, Suite B, Jerome, ID 83338 Phone: 208-324-2004 Fax: 208-324-1154 | |
Pathways Neurofeedback Institute, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Brockman Loop, Jerome, ID 83338 Phone: 208-734-1394 | |
Valley View Family Medical Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 N Lincoln Ave, Jerome, ID 83338 Phone: 208-324-6656 Fax: 208-324-1492 | |
Southern Idaho Medicine Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 E Main St, Jerome, ID 83338 Phone: 208-308-7738 |