| Selkirk Endocrinology | |
|
1125 E Polston Ave Ste B Post Falls ID 83854-6045 | |
| (208) 758-0075 | |
| (208) 758-0076 |
| Full Name | Selkirk Endocrinology |
|---|---|
| Speciality | Internal Medicine |
| Location | 1125 E Polston Ave Ste B, Post Falls, Idaho |
| Authorized Official Name and Position | Chelsey Rene Hansen (CLINIC DIRECTOR) |
| Authorized Official Contact | 2087580075 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Selkirk Endocrinology Po Box 3482 Post Falls ID 83877-3482 | Selkirk Endocrinology 1125 E Polston Ave Ste B Post Falls ID 83854-6045 Ph: (208) 758-0075 |
| NPI Number | 1285142943 |
|---|---|
| Provider Enumeration Date | 01/16/2018 |
| Last Update Date | 10/24/2024 |
| Certification Date | 10/22/2024 |
| Medicare PECOS PAC ID | 5294097176 |
|---|---|
| Medicare Enrollment ID | O20180314000147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285142943 | NPI | - | NPPES |
| ========= | Other | ID | TAX ID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | () | Primary |
| Provider Name | Adam a Lyko |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659485332 PECOS PAC ID: 0345270047 Enrollment ID: I20150914002077 |
| Provider Name | Patrick Reed |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013257468 PECOS PAC ID: 7012156052 Enrollment ID: I20200622000580 |
| Provider Name | Katherine Hall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366497547 PECOS PAC ID: 2365477528 Enrollment ID: I20200824000838 |
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