| Pocatello Free Clinic | |
|
1001 N 7th Ave N Ste 155 Pocatello ID 83201-5786 | |
| (208) 233-6245 | |
| (208) 233-1065 |
| Full Name | Pocatello Free Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 1001 N 7th Ave N Ste 155, Pocatello, Idaho |
| Authorized Official Name and Position | Sherrie Joseph (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2082336245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pocatello Free Clinic 1001 N 7th Ave N Ste 155 Pocatello ID 83201-5786 Ph: (208) 233-6245 | Pocatello Free Clinic 1001 N 7th Ave N Ste 155 Pocatello ID 83201-5786 Ph: (208) 233-6245 |
| NPI Number | 1598508053 |
|---|---|
| Provider Enumeration Date | 06/13/2024 |
| Last Update Date | 06/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598508053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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