IDAHO STREET MEDICAL CLINIC

NPI # 

Practice Address:

126 Idaho Ave.

Homedale, ID, 83628-8362

Practice Phone:

208-859-4103

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Rural Health

Taxonomy Code:

261QR1300X

Updated by NPPES on 3/7/2019. You can view the original data set for NPI # 1063970143 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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IDAHO STREET MEDICAL CLINIC's

CMS CPT® coding data

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IDAHO STREET MEDICAL CLINIC's

CMS prescription data

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