| Summit Family Health | |
|
1828 S Millenium Way Ste 300 Meridian ID 83642-5036 | |
| (208) 893-9184 | |
| Not Available |
| Full Name | Summit Family Health |
|---|---|
| Speciality | Family Medicine |
| Location | 1828 S Millenium Way, Meridian, Idaho |
| Authorized Official Name and Position | William Loveland (OWNER) |
| Authorized Official Contact | 2088939184 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Family Health 1828 S Millenium Way Ste 300 Meridian ID 83642-5036 Ph: (208) 893-9184 | Summit Family Health 1828 S Millenium Way Ste 300 Meridian ID 83642-5036 Ph: (208) 893-9184 |
| NPI Number | 1285181404 |
|---|---|
| Provider Enumeration Date | 09/06/2016 |
| Last Update Date | 11/29/2016 |
| Medicare PECOS PAC ID | 2062793169 |
|---|---|
| Medicare Enrollment ID | O20170104000890 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285181404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M7580 (Idaho) | Primary |
| Provider Name | Andrew M Cron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497707897 PECOS PAC ID: 6507810355 Enrollment ID: I20050304000404 |
| Provider Name | Anthony S Jordan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144212549 PECOS PAC ID: 4880697598 Enrollment ID: I20060818000429 |
| Provider Name | Wade M Bateman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730131038 PECOS PAC ID: 9234043720 Enrollment ID: I20080822000473 |
| Provider Name | William D Loveland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831140854 PECOS PAC ID: 9739184441 Enrollment ID: I20080826000457 |
| Provider Name | Jana W Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396162905 PECOS PAC ID: 7416234414 Enrollment ID: I20170428002017 |
| Provider Name | Veronica Claire Lawrence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699278010 PECOS PAC ID: 2264855782 Enrollment ID: I20230712003440 |
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