| St Benedicts Family Clinic-wendell | |
|
280 W Main St Wendell ID 83355-5201 | |
| (208) 563-6663 | |
| (208) 536-5182 |
| Full Name | St Benedicts Family Clinic-wendell |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 280 W Main St, Wendell, Idaho |
| Authorized Official Name and Position | Curtis Maier (COO) |
| Authorized Official Contact | 2083241122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Benedicts Family Clinic-wendell 280 W Main St Wendell ID 83355-5201 Ph: (208) 563-6663 | St Benedicts Family Clinic-wendell 280 W Main St Wendell ID 83355-5201 Ph: (208) 563-6663 |
| NPI Number | 1073559993 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073559993 | NPI | - | NPPES |
| 000010142896 | Other | ID | REGENCE BLUE SHIELD OF ID |
| 8G882 | Other | ID | BLUE CROSS OF IDAHO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Idaho) | Primary |