| West Idaho Imedcare | |
|
22872 Aura Vista Way Caldwell ID 83607-5593 | |
| (808) 294-7862 | |
| Not Available |
| Full Name | West Idaho Imedcare |
|---|---|
| Speciality | Internal Medicine |
| Location | 22872 Aura Vista Way, Caldwell, Idaho |
| Authorized Official Name and Position | Nathanael Hogg (OWNER) |
| Authorized Official Contact | 8082947862 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Idaho Imedcare Po Box 188 Greenleaf ID 83626-0188 Ph: (208) 261-2030 | West Idaho Imedcare 22872 Aura Vista Way Caldwell ID 83607-5593 Ph: (808) 294-7862 |
| NPI Number | 1205634607 |
|---|---|
| Provider Enumeration Date | 03/04/2025 |
| Last Update Date | 03/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205634607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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