Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IDAHO STREET MEDICAL CLINIC
Active OrganizationIDAHO STREET MEDICAL CLINIC is a Health Service Clinic organization located in HOMEDALE, Idaho. NPI 1023639622 is currently active in the NPPES registry. Verify at CMS.
Health Service Clinic · HOMEDALE, ID
Registration Details
- NPI Number
- 1023639622
- Provider Type
- Organization
- NPI Issued
- May 5, 2020 (6.3146092044436 yrs)
- Last Updated
- May 5, 2020
Practice Information
- Address
-
126 W. IDAHO AVEHOMEDALE, ID, 836288362Browse ID providers · Browse ZIP 83628
- Phone
- 2083377038
- Fax
- 2083374652
- Primary Specialty
-
Health Service Clinic
261QH0100X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.