| Valor Health - Emmett Medical Center | |
|
1102 E Locust St Emmett ID 83617-2713 | |
| (208) 365-6004 | |
| (208) 365-3589 |
| Full Name | Valor Health - Emmett Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1102 E Locust St, Emmett, Idaho |
| Authorized Official Name and Position | Brad Turpen (CEO) |
| Authorized Official Contact | 2089993870 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valor Health - Emmett Medical Center 1102 E Locust St Emmett ID 83617-2713 Ph: (208) 365-6004 | Valor Health - Emmett Medical Center 1102 E Locust St Emmett ID 83617-2713 Ph: (208) 365-6004 |
| NPI Number | 1821091083 |
|---|---|
| Provider Enumeration Date | 05/23/2005 |
| Last Update Date | 11/30/2019 |
| Medicare PECOS PAC ID | 5395652325 |
|---|---|
| Medicare Enrollment ID | O20040928001262 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821091083 | NPI | - | NPPES |
| 13-8525 | Other | ID | RURAL HEALTH CLINIC PTAN |
| 8E001 | Other | ID | BLUE CROSS OF IDAHO GROUP |
| 805187500 | Medicaid | ID | |
| 138525 | Other | UNSPECIFIED | |
| 002563400 | Medicaid | ID | |
| 002563800 | Medicaid | ID | |
| 138525 | Other | ID | MEDICARE PTAN |
| 806367900 | Medicaid | ID | |
| 807437800 | Medicaid | ID | |
| 000010006204 | Other | ID | REGENCE BLUE SH OF ID GRP |
| 000269700 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 13-8525 (Idaho) | Primary |
| Provider Name | James Thomson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760453781 PECOS PAC ID: 4587571245 Enrollment ID: I20041002000106 |
Emmett Family Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2031 E Quail Run Rd, Emmett, ID 83617 Phone: 208-365-2525 Fax: 208-365-2234 | |
Valor Health Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 N Wardwell Ave, Emmett, ID 83617 Phone: 208-365-6311 Fax: 208-365-1003 | |
The Smith Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 N Wardwell Ave, Emmett, ID 83617 Phone: 208-365-6311 | |
Gem Family Practice, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1108 S Washington Ave, Emmett, ID 83617 Phone: 208-365-3455 Fax: 208-365-3422 | |
Valor Health Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 N Wardwell Ave, Emmett, ID 83617 Phone: 208-365-6311 | |
Idaho Behavioral Health Emmett Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 S Johns Ave, Emmett, ID 83617 Phone: 208-343-2737 Fax: 208-342-3238 | |
Emmett Family Medicine And Direct Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2001 E Quail Run Rd, Emmett, ID 83617 Phone: 208-365-7131 Fax: 208-365-4464 |