1710917612 MOUNTAIN STATE FAMILY MEDICINE, PC
Primary Care Clinic/Center
Active
Basic Information
- Organization Name
- MOUNTAIN STATE FAMILY MEDICINE, PC
- Enumeration Date
- July 4, 2006
- Last Update
- August 22, 2020
- Authorized Official
- LEANNE L LEBLANC M.D.
PRESIDENT
Phone: (208) 983-5120
Practice Location
- Address
- 610 NW 2ND ST
GRANGEVILLE, ID 835301244 - Phone
- (208) 983-5120
- Fax
- (208) 983-5404
Mailing Address
- Address
- 610 NW 2ND ST
GRANGEVILLE, ID 835301244 - Phone
- (208) 983-5120
- Fax
- (208) 983-5404
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Primary Care Clinic/Center Primary Care | 261QP2300X | Clinic/Center | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010017999 | 01 | ID | REGENCE BLUE SHIELD |
| 8M434 | 01 | ID | BLUE CROSS OF IDAHO |
Frequently Asked Questions
What is MOUNTAIN STATE FAMILY MEDICINE, PC's NPI number?
MOUNTAIN STATE FAMILY MEDICINE, PC's NPI number is 1710917612.
Which doctor has NPI number 1710917612?
The doctor with NPI number 1710917612 is MOUNTAIN STATE FAMILY MEDICINE, PC.
What is MOUNTAIN STATE FAMILY MEDICINE, PC's practice address?
MOUNTAIN STATE FAMILY MEDICINE, PC's practice address is 610 NW 2ND ST, GRANGEVILLE, ID, 835301244.
Which doctor practices at 610 NW 2ND ST, GRANGEVILLE, ID, 835301244?
MOUNTAIN STATE FAMILY MEDICINE, PC practices at 610 NW 2ND ST, GRANGEVILLE, ID, 835301244.
What is MOUNTAIN STATE FAMILY MEDICINE, PC's phone number?
MOUNTAIN STATE FAMILY MEDICINE, PC's phone number is (208) 983-5120.
Who is (208) 983-5120?
(208) 983-5120 is the phone number for MOUNTAIN STATE FAMILY MEDICINE, PC.
What is MOUNTAIN STATE FAMILY MEDICINE, PC's specialty?
MOUNTAIN STATE FAMILY MEDICINE, PC's specialty is Primary Care Clinic/Center.
What type of doctor is MOUNTAIN STATE FAMILY MEDICINE, PC?
MOUNTAIN STATE FAMILY MEDICINE, PC is a Primary Care Clinic/Center.
Is MOUNTAIN STATE FAMILY MEDICINE, PC a Primary Care?
Yes, MOUNTAIN STATE FAMILY MEDICINE, PC is a Primary Care.
Is MOUNTAIN STATE FAMILY MEDICINE, PC still practicing?
Yes, MOUNTAIN STATE FAMILY MEDICINE, PC is currently practicing.
Is MOUNTAIN STATE FAMILY MEDICINE, PC accepting new patients?
MOUNTAIN STATE FAMILY MEDICINE, PC may be accepting new patients. Please call their office at (208) 983-5120 to inquire about availability.
Is NPI 1710917612 still active?
Yes, NPI 1710917612 is currently active.
Where does MOUNTAIN STATE FAMILY MEDICINE, PC practice?
MOUNTAIN STATE FAMILY MEDICINE, PC practices in GRANGEVILLE, ID.