1902937196 PAYETTE LAKES MEDICAL CLINIC, PA
Primary Care Clinic/Center
Active
Basic Information
- Organization Name
- PAYETTE LAKES MEDICAL CLINIC, PA
- Enumeration Date
- March 8, 2007
- Last Update
- March 17, 2008
- Authorized Official
- JACQUELINE R BRUNS
VP - PHYSICIAN SERVICES
Phone: (208) 634-4061
Practice Location
- Address
- 454 ROSEBURY ROAD
SUITE 103
DONNELLY, ID 83615 - Phone
- (208) 325-4455
- Fax
- (208) 325-4466
Mailing Address
- Address
- PO BOX 1047
MCCALL, ID 836381047 - Phone
- (208) 325-4455
- Fax
- (208) 325-4466
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 |
|---|---|---|---|
| 8N006 | 01 | ID | BC |
| 000010160243 | 01 | ID | BS |
Frequently Asked Questions
What is PAYETTE LAKES MEDICAL CLINIC, PA's NPI number?
PAYETTE LAKES MEDICAL CLINIC, PA's NPI number is 1902937196.
Which doctor has NPI number 1902937196?
The doctor with NPI number 1902937196 is PAYETTE LAKES MEDICAL CLINIC, PA.
What is PAYETTE LAKES MEDICAL CLINIC, PA's practice address?
PAYETTE LAKES MEDICAL CLINIC, PA's practice address is 454 ROSEBURY ROAD, SUITE 103, DONNELLY, ID, 83615.
Which doctor practices at 454 ROSEBURY ROAD, SUITE 103, DONNELLY, ID, 83615?
PAYETTE LAKES MEDICAL CLINIC, PA practices at 454 ROSEBURY ROAD, SUITE 103, DONNELLY, ID, 83615.
What is PAYETTE LAKES MEDICAL CLINIC, PA's mailing address?
PAYETTE LAKES MEDICAL CLINIC, PA's mailing address is PO BOX 1047, MCCALL, ID, 836381047.
What is PAYETTE LAKES MEDICAL CLINIC, PA's phone number?
PAYETTE LAKES MEDICAL CLINIC, PA's phone number is (208) 325-4455.
Who is (208) 325-4455?
(208) 325-4455 is the phone number for PAYETTE LAKES MEDICAL CLINIC, PA.
What is PAYETTE LAKES MEDICAL CLINIC, PA's specialty?
PAYETTE LAKES MEDICAL CLINIC, PA's specialty is Primary Care Clinic/Center.
What type of doctor is PAYETTE LAKES MEDICAL CLINIC, PA?
PAYETTE LAKES MEDICAL CLINIC, PA is a Primary Care Clinic/Center.
Is PAYETTE LAKES MEDICAL CLINIC, PA a Primary Care?
Yes, PAYETTE LAKES MEDICAL CLINIC, PA is a Primary Care.
Is PAYETTE LAKES MEDICAL CLINIC, PA still practicing?
Yes, PAYETTE LAKES MEDICAL CLINIC, PA is currently practicing.
Is PAYETTE LAKES MEDICAL CLINIC, PA accepting new patients?
PAYETTE LAKES MEDICAL CLINIC, PA may be accepting new patients. Please call their office at (208) 325-4455 to inquire about availability.
Is NPI 1902937196 still active?
Yes, NPI 1902937196 is currently active.
Where does PAYETTE LAKES MEDICAL CLINIC, PA practice?
PAYETTE LAKES MEDICAL CLINIC, PA practices in DONNELLY, ID.