| Root Cause Integrative Medicine Llc | |
|
1547 S Midway Ave Suite B Ammon ID 83406 | |
| (208) 497-0429 | |
| (208) 497-0430 |
| Full Name | Root Cause Integrative Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1547 S Midway Ave, Ammon, Idaho |
| Authorized Official Name and Position | Jordan Neil Hale (CO-OWNER/ PHYSICIAN ASSISTANT) |
| Authorized Official Contact | 6509336384 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Root Cause Integrative Medicine Llc 1547 S Midway Ave Suite B Ammon ID 83406 Ph: (208) 497-0429 | Root Cause Integrative Medicine Llc 1547 S Midway Ave Suite B Ammon ID 83406 Ph: (208) 497-0429 |
| NPI Number | 1447718853 |
|---|---|
| Provider Enumeration Date | 03/05/2019 |
| Last Update Date | 04/10/2019 |
| Medicare PECOS PAC ID | 2062753098 |
|---|---|
| Medicare Enrollment ID | O20190401001206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447718853 | NPI | - | NPPES |
| 1396110169 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Laura Lee Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679180244 PECOS PAC ID: 8123430204 Enrollment ID: I20201214002719 |
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Bore Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1498 Midway Ave Ste 2, Ammon, ID 83406 Phone: 208-529-9930 | |
Rhs Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1675 Curlew Dr, Ammon, ID 83406 Phone: 208-523-5319 | |
Pearl Primary Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2705 E 17th St Ste B, Ammon, ID 83406 Phone: 208-497-0566 Fax: 208-346-7501 | |
24 Community Care Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3544 E 17th St, Suite 201, Ammon, ID 83406 Phone: 208-524-0685 Fax: 208-524-0686 | |
Jd Optometrics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 S 25th E, Ammon, ID 83406 Phone: 208-524-8978 |