| Well Clinic Llc | |
|
579 W Hayden Ave Hayden ID 83835-9726 | |
| (208) 772-6015 | |
| Not Available |
| Full Name | Well Clinic Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 579 W Hayden Ave, Hayden, Idaho |
| Authorized Official Name and Position | James D Clayton (MANAGING MEMBER) |
| Authorized Official Contact | 2088184485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Well Clinic Llc 579 W Hayden Ave Hayden ID 83835-9726 Ph: (208) 772-6015 | Well Clinic Llc 579 W Hayden Ave Hayden ID 83835-9726 Ph: (208) 772-6015 |
| NPI Number | 1558176305 |
|---|---|
| Provider Enumeration Date | 02/10/2025 |
| Last Update Date | 02/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558176305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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