| Urgent Care Of Jerome | |
|
133 W Avenue A Suite B Jerome ID 83338-2630 | |
| (208) 324-2004 | |
| (208) 324-1154 |
| Full Name | Urgent Care Of Jerome |
|---|---|
| Speciality | Clinic/Center |
| Location | 133 W Avenue A, Jerome, Idaho |
| Authorized Official Name and Position | Kyle James (CO-OWNER) |
| Authorized Official Contact | 2086786996 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Urgent Care Of Jerome Po Box 773 Jerome ID 83338-5483 Ph: (208) 324-2004 | Urgent Care Of Jerome 133 W Avenue A Suite B Jerome ID 83338-2630 Ph: (208) 324-2004 |
| NPI Number | 1538578687 |
|---|---|
| Provider Enumeration Date | 08/02/2014 |
| Last Update Date | 05/24/2022 |
| Medicare PECOS PAC ID | 8527381136 |
|---|---|
| Medicare Enrollment ID | O20150106000297 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538578687 | NPI | - | NPPES |
| 13D2082421 | Other | ID | CLIA |
| 1538578687 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | O-154 (Idaho) | Secondary |
| 207Q00000X | Family Medicine | M-9766 (Idaho) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (Idaho) | Primary |
| Provider Name | Jeffrey S Swenson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376531004 PECOS PAC ID: 5991879314 Enrollment ID: I20080804000286 |
| Provider Name | Donald J. Konrad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306836077 PECOS PAC ID: 4688840515 Enrollment ID: I20111227000460 |
| Provider Name | Brian Ray Muir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386872810 PECOS PAC ID: 6002076403 Enrollment ID: I20120321000879 |
| Provider Name | Beverly A Lammers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255743332 PECOS PAC ID: 1850517780 Enrollment ID: I20140729001740 |
| Provider Name | Eric T. Fast |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376918383 PECOS PAC ID: 1557667466 Enrollment ID: I20160302001489 |
| Provider Name | Briana Odonnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457704249 PECOS PAC ID: 6709164999 Enrollment ID: I20161021001497 |
| Provider Name | Trena Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255819942 PECOS PAC ID: 0143567131 Enrollment ID: I20190129003202 |
| Provider Name | Craig C Hope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881212942 PECOS PAC ID: 2062824394 Enrollment ID: I20201210001613 |
| Provider Name | Blake Taylor Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649739392 PECOS PAC ID: 7214333533 Enrollment ID: I20210910001680 |
| Provider Name | Emily Nicole Montague |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316683790 PECOS PAC ID: 8123401932 Enrollment ID: I20220811001488 |
| Provider Name | Chelsea M Farnsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295474229 PECOS PAC ID: 6204210941 Enrollment ID: I20220830003261 |
| Provider Name | Toby Christopher Rood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982101051 PECOS PAC ID: 5991180135 Enrollment ID: I20220923001573 |
| Provider Name | Samantha Wynn Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164141107 PECOS PAC ID: 1759752165 Enrollment ID: I20230123001960 |
| Provider Name | Stephanie Ann York |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114630878 PECOS PAC ID: 7214302785 Enrollment ID: I20230414000875 |
Family Care Physicians, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 5th Ave W, Jerome, ID 83338 Phone: 208-324-1157 Fax: 208-324-3604 | |
North Canyon Jerome Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 491 Heritage Dr, Jerome, ID 83338 Phone: 208-644-7500 Fax: 208-644-7501 | |
Lorraine Tangen M.d. Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 N Lincoln Ave, Jerome, ID 83338 Phone: 208-324-6656 | |
Pathways Neurofeedback Institute, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Brockman Loop, Jerome, ID 83338 Phone: 208-734-1394 | |
Valley View Family Medical Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 N Lincoln Ave, Jerome, ID 83338 Phone: 208-324-6656 Fax: 208-324-1492 | |
Southern Idaho Medicine Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 E Main St, Jerome, ID 83338 Phone: 208-308-7738 |