| Steele Memorial Clinic | |
|
805 Main St. Salmon ID 83467 | |
| (208) 756-6212 | |
| (208) 756-6336 |
| Full Name | Steele Memorial Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 805 Main St., Salmon, Idaho |
| Authorized Official Name and Position | Abner King (COO) |
| Authorized Official Contact | 2087565720 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steele Memorial Clinic 805 Main St. Salmon ID 83467 Ph: (208) 756-6212 | Steele Memorial Clinic 805 Main St. Salmon ID 83467 Ph: (208) 756-6212 |
| NPI Number | 1922182278 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 04/17/2015 |
| Medicare PECOS PAC ID | 9436131265 |
|---|---|
| Medicare Enrollment ID | O20050307000568 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922182278 | NPI | - | NPPES |
| 806644700 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 133996 (Idaho) | Primary |
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