| Swenson M.d. Inc. | |
|
1218 9th St Ste 4 Rupert ID 83350-2207 | |
| (208) 436-4838 | |
| (208) 436-1561 |
| Full Name | Swenson M.d. Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1218 9th St Ste 4, Rupert, Idaho |
| Authorized Official Name and Position | Jeffrey Scott Swenson (OWNER) |
| Authorized Official Contact | 2084364838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Swenson M.d. Inc. 1218 9th St Ste 4 Rupert ID 83350-2207 Ph: (208) 436-4838 | Swenson M.d. Inc. 1218 9th St Ste 4 Rupert ID 83350-2207 Ph: (208) 436-4838 |
| NPI Number | 1215191390 |
|---|---|
| Provider Enumeration Date | 07/17/2008 |
| Last Update Date | 07/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215191390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M9766 (Idaho) | Primary |
Minidoka Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1308 8th St, Suite 1, Rupert, ID 83350 Phone: 208-436-4322 Fax: 208-436-1312 | |
Rupert Medical Center Partnership Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1218 9th St Ste 7, Rupert, ID 83350 Phone: 208-436-3161 |