| Fremont Medical Services Pc | |
|
430 N Bridge St Saint Anthony ID 83445-1425 | |
| (208) 624-4402 | |
| (208) 624-4409 |
| Full Name | Fremont Medical Services Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 430 N Bridge St, Saint Anthony, Idaho |
| Authorized Official Name and Position | Stephen James Cheyne (PRESIDENT) |
| Authorized Official Contact | 2086244402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fremont Medical Services Pc 430 N Bridge St Saint Anthony ID 83445-1425 Ph: (208) 624-4402 | Fremont Medical Services Pc 430 N Bridge St Saint Anthony ID 83445-1425 Ph: (208) 624-4402 |
| NPI Number | 1023288172 |
|---|---|
| Provider Enumeration Date | 03/05/2008 |
| Last Update Date | 11/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023288172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | M4566 (Idaho) | Primary |
Fremont Medical Center, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 30 W Main St, Saint Anthony, ID 83445 Phone: 208-624-2969 | |
Fremont Family Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 W Main St, Saint Anthony, ID 83445 Phone: 208-680-2716 |