| Steele Memorial Medical Clinic | |
|
805 Main St Salmon ID 83467-4316 | |
| (208) 756-6212 | |
| (208) 756-6336 |
| Full Name | Steele Memorial Medical Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 805 Main St, Salmon, Idaho |
| Authorized Official Name and Position | Ryan Larson (CFO) |
| Authorized Official Contact | 2087565616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Steele Memorial Medical Clinic Po Box 700 Salmon ID 83467-0700 Ph: (208) 756-5698 | Steele Memorial Medical Clinic 805 Main St Salmon ID 83467-4316 Ph: (208) 756-6212 |
| NPI Number | 1407563265 |
|---|---|
| Provider Enumeration Date | 11/01/2022 |
| Last Update Date | 11/01/2022 |
| Certification Date | 03/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407563265 | NPI | - | NPPES |
| 8D145 | Other | ID | BLUE CROSS |
| 1254505 | Medicaid | ID | |
| 00356 | Other | ID | CLINIC-BLUE CROSS |
| 133996 | Other | ID | MEDICAID-CLINIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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Steele Memorial Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 805 Main St., Salmon, ID 83467 Phone: 208-756-6212 Fax: 208-756-6336 |