| Seasons Of Hope | |
|
4650 Hawthorne Rd Ste 3b Chubbuck ID 83202-2376 | |
| (208) 237-9833 | |
| (208) 237-1800 |
| Full Name | Seasons Of Hope |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4650 Hawthorne Rd Ste 3b, Chubbuck, Idaho |
| Authorized Official Name and Position | Heath Jacob Sommer (CEO) |
| Authorized Official Contact | 2082379833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seasons Of Hope 4650 Hawthorne Rd Ste 3b Chubbuck ID 83202-2376 Ph: (208) 237-9833 | Seasons Of Hope 4650 Hawthorne Rd Ste 3b Chubbuck ID 83202-2376 Ph: (208) 237-9833 |
| NPI Number | 1962705939 |
|---|---|
| Provider Enumeration Date | 12/14/2010 |
| Last Update Date | 12/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962705939 | NPI | - | NPPES |
| 1376865006 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | PSY202423 (Idaho) | Primary |
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Sterling Provider Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5605 Northside Crossing Road, Chubbuck, ID 83202 Phone: 208-547-5062 Fax: 208-547-5063 | |
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