| Silver Valley Family Practice Pc | |
|
107 Mckinley Ave Kellogg ID 83837-2501 | |
| (208) 783-0300 | |
| (208) 783-0303 |
| Full Name | Silver Valley Family Practice Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 107 Mckinley Ave, Kellogg, Idaho |
| Authorized Official Name and Position | Linda Josefine Yawn (OWNER) |
| Authorized Official Contact | 2087830300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Silver Valley Family Practice Pc Po Box 442 Kellogg ID 83837-0442 Ph: (208) 783-0300 | Silver Valley Family Practice Pc 107 Mckinley Ave Kellogg ID 83837-2501 Ph: (208) 783-0300 |
| NPI Number | 1235797838 |
|---|---|
| Provider Enumeration Date | 05/30/2019 |
| Last Update Date | 11/10/2020 |
| Medicare PECOS PAC ID | 4284962150 |
|---|---|
| Medicare Enrollment ID | O20190830000566 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235797838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Linda Josefine Yawn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457508301 PECOS PAC ID: 0244364743 Enrollment ID: I20171219000396 |
Mountain Health Services Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 740 Mckinley Ave, Kellogg, ID 83837 Phone: 208-783-1267 Fax: 208-786-4471 | |
Shoshone Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25 Jacobs Gulch Rd, Kellogg, ID 83837 Phone: 208-784-4612 Fax: 208-786-1019 |