Southfork Healthcare is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Swan Valley, Idaho. The current practice location for Southfork Healthcare is 166 Elk Path, Swan Valley, Idaho. For appointments, you can reach them via phone at
(208) 360-1997. The mailing address for Southfork Healthcare is Po Box 101, Swan Valley, Idaho and phone number is (208) 360-1997.
Southfork Healthcare is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1134462856. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(208) 360-1997.
Primary Care Clinic Profile
| Full Name | Southfork Healthcare |
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| Speciality | Clinic/Center |
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| Location | 166 Elk Path, Swan Valley, Idaho |
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| Authorized Official Name and Position | Wendy Swope (ADMINISTRATOR) |
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| Authorized Official Contact | 2083601997 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Southfork Healthcare
Po Box 101
Swan Valley
ID 83449-0101
Ph: (208) 360-1997 | Southfork Healthcare
166 Elk Path
Swan Valley
ID 83449-0101
Ph: (208) 360-1997 |
NPI Details:
| NPI Number | 1134462856 |
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| Provider Enumeration Date | 04/01/2013 |
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| Last Update Date | 05/29/2023 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 0749423150 |
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| Medicare Enrollment ID | O20130904000926 |
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Medical Identifiers
Medical identifiers for Southfork Healthcare such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134462856 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Southfork Healthcare acts as a billing entity for following providers:
| Provider Name | Wendy F Swope |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1962522409
PECOS PAC ID: 5092800672
Enrollment ID: I20070927000204 |
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